LORENZO EDUARDO AYALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030749

License Status

EXPIRED

Business

First Name

LORENZO EDUARDO

Last Name

AYALA

Business Name

LORENZO EDUARDO AYALA

Original Issue Date

09/18/1993

Effective Date

09/18/1993

Expiration Date

09/16/1996

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006