ALEXANDRA M GOODWIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142796

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

Last Name

GOODWIN

Business Name

ALEXANDRA M GOODWIN MD

Original Issue Date

03/28/2017

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021