JUSTIN PUTHUVELIL ALEXANDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155886

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

PUTHUVELIL

Last Name

ALEXANDER

Business Name

JUSTIN PUTHUVELIL ALEXANDER MD

Original Issue Date

03/04/2021

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023