ELLEN ELIZABETH ALEXANDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070384

License Status

CANCELLED

Business

Title

First Name

ELLEN

Middle

ELIZABETH

Last Name

ALEXANDER

Business Name

ELLEN ELIZABETH ALEXANDER MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/27/2017