MARC JOSEPH ALONZO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

CANCELLED

Business

First Name

MARC

Middle

JOSEPH

Last Name

ALONZO

Suffix

Business Name

MARC JOSEPH ALONZO MD

Original Issue Date

09/04/2003

Effective Date

09/04/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020