ALEXANDRA JORDAN DOUGLAS PHELPS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075365

License Status

EXPIRED

Business

Title

First Name

ALEXANDRA

Middle

JORDAN DOUGLAS

Last Name

PHELPS

Business Name

ALEXANDRA JORDAN DOUGLAS PHELPS MD

Original Issue Date

02/01/2020

Effective Date

02/01/2020

Expiration Date

06/30/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022