HAROLD MICHAEL HIDALGO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001324

License Status

NOT RENEWED

Business

First Name

HAROLD

Middle

MICHAEL

Last Name

HIDALGO

Business Name

HAROLD MICHAEL HIDALGO

Original Issue Date

12/30/1999

Effective Date

03/07/2012

Expiration Date

03/01/2014

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014