FRANCISCO ALEXANDER DE LA FUENTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

FRANCISCO

Middle

ALEXANDER

Last Name

DE LA FUENTE

Suffix

Business Name

FRANCISCO ALEXANDER DE LA FUENTE MD

Original Issue Date

05/09/2006

Effective Date

05/09/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008