CARLOS R DALENCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077978

License Status

NOT RENEWED

Business

First Name

CARLOS R

Last Name

DALENCE

Suffix

Business Name

CARLOS R DALENCE MD

Original Issue Date

10/08/1988

Effective Date

10/08/1988

Expiration Date

07/31/1993

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006