ALFRED L HONTANOSAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

CANCELLED

Business

First Name

ALFRED L

Last Name

HONTANOSAS

Suffix

Business Name

ALFRED L HONTANOSAS MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006