TELVA E HERNANDEZ DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000866

License Status

NOT RENEWED

Business

Title

DPM

First Name

TELVA

Middle

Last Name

HERNANDEZ

Business Name

TELVA E HERNANDEZ DPM

Original Issue Date

10/07/2014

Effective Date

10/07/2014

Expiration Date

10/07/2015

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2016