MIGUEL L ALFONSO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024562

License Status

EXPIRED

Business

First Name

MIGUEL L

Last Name

ALFONSO

Business Name

MIGUEL L ALFONSO

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60651

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006