ALEXANDER D BLEVENS MD - Medical Doctor License in Illinois | # 125018617

ALEXANDER D BLEVENS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018617

License Status

EXPIRED

Business

N

First Name

ALEXANDER D

Last Name

BLEVENS

Suffix

MD

Business Name

ALEXANDER D BLEVENS MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006