ALFREDO JOSE MENA LORA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

ALFREDO

Middle

JOSE

Last Name

MENA LORA

Business Name

ALFREDO JOSE MENA LORA MD

Original Issue Date

10/12/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023