JOSE A AYALA MD - Medical Doctor License in Illinois | # 125050511

JOSE A AYALA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050511

License Status

CANCELLED

Business

N

First Name

JOSE

Middle

A

Last Name

AYALA

Suffix

MD

Business Name

JOSE A AYALA MD

Original Issue Date

08/16/2005

Effective Date

08/16/2005

Expiration Date

08/15/2008

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006