ALFREDO JOSE MENA LORA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056547

License Status

CANCELLED

Business

Title

First Name

ALFREDO

Middle

JOSE

Last Name

MENA LORA

Business Name

ALFREDO JOSE MENA LORA MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2009