JULIAN DAVID HERNANDEZ CARVAJAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

JULIAN

Middle

DAVID

Last Name

HERNANDEZ CARVAJAL

Business Name

JULIAN DAVID HERNANDEZ CARVAJAL

Original Issue Date

08/18/2022

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

SYCAMORE

State

Zip

60178

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026