ALFONSO T DAMPOG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052809

License Status

NOT RENEWED

Business

First Name

ALFONSO T

Last Name

DAMPOG

Suffix

Business Name

ALFONSO T DAMPOG MD

Original Issue Date

06/08/1976

Effective Date

06/08/1976

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006