ORLANDO ALFONSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121818

License Status

NOT RENEWED

Business

First Name

ORLANDO

Last Name

ALFONSO

Suffix

Business Name

ORLANDO ALFONSO MD

Original Issue Date

08/20/2008

Effective Date

08/20/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011