JOSE RAUL ALFONSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035759

License Status

NOT RENEWED

Business

First Name

JOSE RAUL

Last Name

ALFONSO

Suffix

Business Name

JOSE RAUL ALFONSO MD

Original Issue Date

05/28/1959

Effective Date

05/28/1959

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006