TELVA E HERNANDEZ DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DPM

First Name

TELVA

Middle

Last Name

HERNANDEZ

Business Name

TELVA E HERNANDEZ DPM

Original Issue Date

08/24/2015

Effective Date

11/15/2018

Expiration Date

01/31/2021

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021