ALEXANDRA DANIELLE WALTERS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069380

License Status

EXPIRED

Business

Title

First Name

ALEXANDRA

Middle

DANIELLE

Last Name

WALTERS

Business Name

ALEXANDRA DANIELLE WALTERS DO

Original Issue Date

10/01/2019

Effective Date

10/01/2019

Expiration Date

09/30/2022

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Cardiology

Ever Disciplined

LastModifiedDate

02/15/2023