MANUEL E ALVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026046

License Status

EXPIRED

Business

First Name

MANUEL E

Last Name

ALVA

Business Name

MANUEL E ALVA

Original Issue Date

09/26/1990

Effective Date

09/26/1990

Expiration Date

09/24/1993

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006