FACUNDO B DOVALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085934

License Status

NOT RENEWED

Business

First Name

FACUNDO

Middle

Last Name

DOVALE

Suffix

Business Name

FACUNDO B DOVALE MD

Original Issue Date

03/29/1993

Effective Date

07/20/2021

Expiration Date

07/31/2023

City

CREST HILL

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

1997004184

Action

Probation

Discipline Start Date

10/11/2016

Discipline End Date

08/13/2019

Discipline Reason

restored to indefinite probation for a minimum of five years based on a violation of probation.