GERSON ALCANTARA CRISTE MD - Medical Doctor License in Illinois | # 125049663

GERSON ALCANTARA CRISTE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049663

License Status

CANCELLED

Business

N

Title

MD

First Name

GERSON

Middle

ALCANTARA

Last Name

CRISTE

Business Name

GERSON ALCANTARA CRISTE MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

09/22/2006