SUZANNE FOX ALFANO MD - Medical Doctor License in Illinois | # 125062568

SUZANNE FOX ALFANO MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062568

License Status

CANCELLED

Business

N

First Name

SUZANNE

Middle

FOX

Last Name

ALFANO

Suffix

MD

Business Name

SUZANNE FOX ALFANO MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

03/24/2014