ALEXIS C BOUTENEFF MD - Medical Doctor License in Illinois | # 036147133

ALEXIS C BOUTENEFF MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147133

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ALEXIS

Middle

C

Last Name

BOUTENEFF

Business Name

ALEXIS C BOUTENEFF MD

Original Issue Date

08/07/2018

Effective Date

08/07/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021