ALEXANDRA HELEN GENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070742

License Status

CANCELLED

Business

Title

First Name

ALEXANDRA

Middle

HELEN

Last Name

GENS

Business Name

ALEXANDRA HELEN GENS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/10/2017