MANUEL E ALONSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MANUEL E

Last Name

ALONSO

Suffix

Business Name

MANUEL E ALONSO MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

OAK BROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006