FRANCISCO ALEXANDER DE LA FUENTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046346

License Status

EXPIRED

Business

First Name

FRANCISCO

Middle

ALEXANDER

Last Name

DE LA FUENTE

Suffix

Business Name

FRANCISCO ALEXANDER DE LA FUENTE MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007