ALEXANDRA S BULLOUGH MD - Medical Doctor License in Illinois | # 113000064

ALEXANDRA S BULLOUGH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000064

License Status

EXPIRED

Business

N

Title

MD

First Name

ALEXANDRA

Middle

S

Last Name

BULLOUGH

Business Name

ALEXANDRA S BULLOUGH MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021