LORENZO EDUARDO AYALA - Medical Doctor License in Illinois | # 125030749

LORENZO EDUARDO AYALA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030749

License Status

EXPIRED

Business

N

First Name

LORENZO EDUARDO

Last Name

AYALA

Business Name

LORENZO EDUARDO AYALA

Original Issue Date

09/18/1993

Effective Date

09/18/1993

Expiration Date

09/16/1996

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006