JOSE M HERNANDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001820

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

Last Name

HERNANDEZ

Business Name

JOSE M HERNANDEZ

Original Issue Date

01/17/2012

Effective Date

11/28/2018

Expiration Date

12/31/2020

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

SOLE PROPRIETOR

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/11/2021