ALEXA PITTS SOULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150345

License Status

NOT RENEWED

Business

Title

First Name

ALEXA

Middle

PITTS

Last Name

SOULT

Business Name

ALEXA PITTS SOULT MD

Original Issue Date

07/26/2019

Effective Date

07/26/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021