ADRIANA P HERMIDA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ADRIANA

Middle

Last Name

HERMIDA

Business Name

ADRIANA P HERMIDA

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006