NATASHA M HERNANDEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116219

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

Last Name

HERNANDEZ

Business Name

NATASHA M HERNANDEZ

Original Issue Date

06/15/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MILWAUKEE

State

Zip

53217

Ever Disciplined

LastModifiedDate

11/06/2008