ALEXANDER DAVID RAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063807

License Status

EXPIRED

Business

First Name

ALEXANDER

Middle

DAVID

Last Name

RAW

Suffix

Business Name

ALEXANDER DAVID RAW MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/19/2017