ALEXANDER MAXWELL KANDABAROW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068288

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Middle

MAXWELL

Last Name

KANDABAROW

Business Name

ALEXANDER MAXWELL KANDABAROW MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/19/2019