GRACE A ALFONSI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069209

License Status

NOT RENEWED

Business

First Name

GRACE A

Last Name

ALFONSI

Suffix

Business Name

GRACE A ALFONSI MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006