ALFONSO E REA - Medical Doctor License in Illinois | # 036094407

ALFONSO E REA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094407

License Status

NOT RENEWED

Business

N

First Name

ALFONSO E

Last Name

REA

Business Name

ALFONSO E REA

Original Issue Date

10/21/1996

Effective Date

10/21/1996

Expiration Date

07/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006