CLIVE L ALONZO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112177

License Status

ACTIVE

Business

Title

First Name

CLIVE

Middle

Last Name

ALONZO

Business Name

CLIVE L ALONZO MD

Original Issue Date

08/23/2004

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023