CLIVE L ALONZO MD - Medical Doctor License in Illinois | # 125045028

CLIVE L ALONZO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045028

License Status

EXPIRED

Business

N

Title

MD

First Name

CLIVE

Middle

L

Last Name

ALONZO

Business Name

CLIVE L ALONZO MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006