ALEXANDER D BLEVENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018617

License Status

EXPIRED

Business

First Name

ALEXANDER D

Last Name

BLEVENS

Suffix

Business Name

ALEXANDER D BLEVENS MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

MAYWOOD

State

Zip

60151

County

DEKALB

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006