VICTOR H AYALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019325

License Status

EXPIRED

Business

First Name

VICTOR H

Last Name

AYALA

Business Name

VICTOR H AYALA

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

07/01/1989

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006