CHAZ JOSEPH HERNANDEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008781

License Status

ACTIVE

Business

First Name

CHAZ

Middle

JOSEPH

Last Name

HERNANDEZ

Business Name

CHAZ JOSEPH HERNANDEZ

Original Issue Date

12/20/2021

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

Ever Disciplined

LastModifiedDate

01/07/2026