ALFONSO MIRELES MD 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

MIRELES

Suffix

Business Name

ALFONSO MIRELES MD

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

07/31/1990

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006