ALEXANDRA C FULREADER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DDS

First Name

ALEXANDRA

Middle

Last Name

FULREADER

Business Name

ALEXANDRA C FULREADER DDS

Original Issue Date

07/10/2014

Effective Date

06/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2024