CHAZ JOSEPH HERNANDEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

CHAZ

Middle

JOSEPH

Last Name

HERNANDEZ

Business Name

CHAZ JOSEPH HERNANDEZ

Original Issue Date

03/10/2022

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/07/2026