ALFONSO E REA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033899

License Status

EXPIRED

Business

First Name

ALFONSO E

Last Name

REA

Business Name

ALFONSO E REA

Original Issue Date

08/17/1995

Effective Date

08/17/1995

Expiration Date

08/16/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

09/22/2006