ALEXANDRIA JOANN HASELHORST DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073527

License Status

EXPIRED

Business

Title

First Name

ALEXANDRIA

Middle

JOANN

Last Name

HASELHORST

Business Name

ALEXANDRIA JOANN HASELHORST DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Sports Medicine (PM&R)

Ever Disciplined

LastModifiedDate

11/19/2020