ANGIE L YOUSSEF HERNANDEZ Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001088

License Status

EXPIRED

Business

First Name

ANGIE

Middle

Last Name

YOUSSEF HERNANDEZ

Business Name

ANGIE L YOUSSEF HERNANDEZ

Original Issue Date

06/05/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2020