TELVA E HERNANDEZ DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005678

License Status

NOT RENEWED

Business

Title

DPM

First Name

TELVA

Middle

Last Name

HERNANDEZ

Business Name

TELVA E HERNANDEZ DPM

Original Issue Date

07/27/2015

Effective Date

11/15/2018

Expiration Date

01/31/2021

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/11/2021