JONATHAN ALEXANDER CHURCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148057

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

ALEXANDER

Last Name

CHURCH

Business Name

JONATHAN ALEXANDER CHURCH MD

Original Issue Date

01/07/2019

Effective Date

01/07/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021