FRANCISCO ALEXANDER DE LA FUENTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114181

License Status

NOT RENEWED

Business

First Name

FRANCISCO

Middle

ALEXANDER

Last Name

DE LA FUENTE

Suffix

Business Name

FRANCISCO ALEXANDER DE LA FUENTE MD

Original Issue Date

07/14/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008