ASHA MARIAM ALEX MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059503

License Status

EXPIRED

Business

Title

First Name

ASHA

Middle

MARIAM

Last Name

ALEX

Business Name

ASHA MARIAM ALEX MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015