ALFONSO S BARDALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056659

License Status

NOT RENEWED

Business

First Name

ALFONSO S

Last Name

BARDALES

Suffix

Business Name

ALFONSO S BARDALES MD

Original Issue Date

04/17/1978

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017