ANDREW JACOB ALEXANDER MD - Medical Doctor License in Illinois | # 125071641

ANDREW JACOB ALEXANDER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071641

License Status

CANCELLED

Business

N

Title

MD

First Name

ANDREW

Middle

JACOB

Last Name

ALEXANDER

Business Name

ANDREW JACOB ALEXANDER MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

State

IL

Specialty/Qualifier

Hematopathology

Ever Disciplined

N

LastModifiedDate

04/02/2018