ALFONSO DELA MORENA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044580

License Status

NOT RENEWED

Business

First Name

ALFONSO

Last Name

DELA MORENA

Business Name

ALFONSO DELA MORENA

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/20/2006