ALFONSO MIRELES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066162

License Status

NOT RENEWED

Business

First Name

ALFONSO

Last Name

MIRELES

Suffix

Business Name

ALFONSO MIRELES MD

Original Issue Date

03/03/1983

Effective Date

03/03/1983

Expiration Date

07/31/1990

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006