CARLOS ALPHONSE ZAVALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081088

License Status

CANCELLED

Business

Title

First Name

CARLOS

Middle

ALPHONSE

Last Name

ZAVALA

Business Name

CARLOS ALPHONSE ZAVALA MD

Original Issue Date

08/29/2022

Effective Date

08/29/2022

Expiration Date

08/28/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/15/2025