FACUNDO B DOVALE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025713

License Status

EXPIRED

Business

First Name

FACUNDO

Middle

Last Name

DOVALE

Suffix

Business Name

FACUNDO B DOVALE MD

Original Issue Date

06/25/1990

Effective Date

06/25/1990

Expiration Date

06/25/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006