JOSE RAUL ALFONSO MD - Medical Doctor License in Illinois | # 036035759

JOSE RAUL ALFONSO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035759

License Status

NOT RENEWED

Business

N

First Name

JOSE RAUL

Last Name

ALFONSO

Suffix

MD

Business Name

JOSE RAUL ALFONSO MD

Original Issue Date

05/28/1959

Effective Date

05/28/1959

Expiration Date

07/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006