ALEX JOHN ANDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071978

License Status

CANCELLED

Business

Title

First Name

ALEX

Middle

JOHN

Last Name

ANDERSON

Business Name

ALEX JOHN ANDERSON MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/03/2021