ALFREDO CEBALLOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047252

License Status

CANCELLED

Business

First Name

ALFREDO

Last Name

CEBALLOS

Suffix

Business Name

ALFREDO CEBALLOS MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006