ALFONSO DELA MORENA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ALFONSO

Last Name

DELA MORENA

Business Name

ALFONSO DELA MORENA

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006