ALFREDO ENRIQUE URDANETA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051506

License Status

EXPIRED

Business

First Name

ALFREDO

Middle

ENRIQUE

Last Name

URDANETA

Suffix

Business Name

ALFREDO ENRIQUE URDANETA MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

06/25/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009