ALEJANDRO A AMANTE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040086

License Status

EXPIRED

Business

First Name

ALEJANDRO

Middle

Last Name

AMANTE

Business Name

ALEJANDRO A AMANTE

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/27/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006