RICARDO ANDRES HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

RICARDO

Middle

ANDRES

Last Name

HERNANDEZ

Business Name

RICARDO ANDRES HERNANDEZ MD

Original Issue Date

09/12/2011

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017