GRACE A ALFONSI MD - Medical Doctor License in Illinois | # 036069209

GRACE A ALFONSI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069209

License Status

NOT RENEWED

Business

N

First Name

GRACE A

Last Name

ALFONSI

Suffix

MD

Business Name

GRACE A ALFONSI MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006