MADELEINE R HERNANDEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

INACTIVE

Business

Title

First Name

MADELEINE R

Last Name

HERNANDEZ

Business Name

MADELEINE R HERNANDEZ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DARIEN

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006