ALONSO MESA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020451

License Status

EXPIRED

Business

First Name

ALONSO

Last Name

MESA

Suffix

Business Name

ALONSO MESA MD

Original Issue Date

04/02/1987

Effective Date

04/02/1987

Expiration Date

04/01/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/11/2014