ALEXANDER ETHAN FELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027790

License Status

EXPIRED

Business

First Name

ALEXANDER ETHAN

Last Name

FELLER

Suffix

Business Name

ALEXANDER ETHAN FELLER MD

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/23/1993

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006