JOSE MARIO AYALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037371

License Status

EXPIRED

Business

First Name

JOSE

Middle

MARIO

Last Name

AYALA

Suffix

Business Name

JOSE MARIO AYALA MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006