ALEXANDRA KATHLEEN ACOSTA OWENS MD - Medical Doctor License in Illinois | # 125074899

ALEXANDRA KATHLEEN ACOSTA OWENS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074899

License Status

EXPIRED

Business

N

Title

MD

First Name

ALEXANDRA

Middle

KATHLEEN

Last Name

ACOSTA OWENS

Business Name

ALEXANDRA KATHLEEN ACOSTA OWENS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022