ALEXA MARIE CASTELLANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065078

License Status

EXPIRED

Business

Title

First Name

ALEXA

Middle

MARIE

Last Name

CASTELLANO

Business Name

ALEXA MARIE CASTELLANO MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/02/2019