VINCENT HERNANDEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

VINCENT

Last Name

HERNANDEZ

Business Name

VINCENT HERNANDEZ

Original Issue Date

12/10/2007

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

03/04/2015