JACK M ALEXANDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013175

License Status

EXPIRED

Business

First Name

JACK M

Last Name

ALEXANDER

Suffix

Business Name

JACK M ALEXANDER MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

06/30/1984

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006