VIRGINIA HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125302

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Last Name

HERNANDEZ

Suffix

Business Name

VIRGINIA HERNANDEZ MD

Original Issue Date

03/25/2010

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

SHIPROCK

State

Zip

87420

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017