ALEXANDRA S BULLOUGH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000064

License Status

EXPIRED

Business

Title

First Name

ALEXANDRA

Middle

Last Name

BULLOUGH

Business Name

ALEXANDRA S BULLOUGH MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021