HAROLD MICHAEL HIDALGO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

INOPERATIVE

Business

First Name

HAROLD

Middle

MICHAEL

Last Name

HIDALGO

Business Name

HAROLD MICHAEL HIDALGO

Original Issue Date

12/05/2002

Effective Date

03/07/2012

Expiration Date

03/01/2014

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

11/09/2012