VINCENT HERNANDEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000601

License Status

NOT RENEWED

Business

First Name

VINCENT

Last Name

HERNANDEZ

Business Name

VINCENT HERNANDEZ

Original Issue Date

02/22/1994

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2015