ALFONSO E REA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094407

License Status

NOT RENEWED

Business

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

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006