JUANBOSCO AYALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117517

License Status

ACTIVE

Business

First Name

JUANBOSCO

Last Name

AYALA

Suffix

Business Name

JUANBOSCO AYALA MD

Original Issue Date

01/25/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023