ALFONSO C DAVID MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017097

License Status

EXPIRED

Business

First Name

ALFONSO C

Last Name

DAVID

Suffix

Business Name

ALFONSO C DAVID MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

06/22/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006