CESAR ALBERTE LISTA - Medical Doctor License in Illinois | # 125035512

CESAR ALBERTE LISTA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035512

License Status

EXPIRED

Business

N

First Name

CESAR

Last Name

ALBERTE LISTA

Business Name

CESAR ALBERTE LISTA

Original Issue Date

08/19/1996

Effective Date

08/19/1996

Expiration Date

08/15/1999

State

IL

Ever Disciplined

N

LastModifiedDate

03/29/2016