AMBER LYNN GROVE DE ALENCAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061846

License Status

CANCELLED

Business

Title

First Name

AMBER

Middle

LYNN

Last Name

GROVE DE ALENCAR

Business Name

AMBER LYNN GROVE DE ALENCAR MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014