MIGUEL L ALFONSO - Medical Doctor License in Illinois | # 125024562

MIGUEL L ALFONSO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024562

License Status

EXPIRED

Business

N

First Name

MIGUEL L

Last Name

ALFONSO

Business Name

MIGUEL L ALFONSO

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006