ALFONSO S BARDALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

ALFONSO S

Last Name

BARDALES

Suffix

Business Name

ALFONSO S BARDALES MD

Original Issue Date

01/01/1997

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017