RICARDO B FONSECA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031650

License Status

EXPIRED

Business

First Name

RICARDO B

Last Name

FONSECA

Suffix

Business Name

RICARDO B FONSECA MD

Original Issue Date

06/02/1994

Effective Date

06/02/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006