ALFREDO RUMILLA SR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037522

License Status

NOT RENEWED

Business

Title

First Name

ALFREDO

Last Name

RUMILLA

Suffix

Business Name

ALFREDO RUMILLA SR MD

Original Issue Date

11/22/1961

Effective Date

09/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2011006377

Action

Suspension

Discipline Start Date

06/24/2016

Discipline End Date

12/19/2016

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/20/2016.