ALFONSO OLIVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068573

License Status

NOT RENEWED

Business

First Name

ALFONSO

Last Name

OLIVA

Suffix

Business Name

ALFONSO OLIVA MD

Original Issue Date

04/25/1984

Effective Date

04/25/1984

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006