ALFREDO JOSE MENA LORA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129081

License Status

ACTIVE

Business

Title

First Name

ALFREDO

Middle

JOSE

Last Name

MENA LORA

Business Name

ALFREDO JOSE MENA LORA MD

Original Issue Date

10/12/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023