ALEXANDRA JOAN D'AGOSTINI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069475

License Status

EXPIRED

Business

Title

First Name

ALEXANDRA

Middle

JOAN

Last Name

D'AGOSTINI

Business Name

ALEXANDRA JOAN D'AGOSTINI MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022