ALEXANDRA VAN DER WEYDEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075982

License Status

EXPIRED

Business

Title

First Name

ALEXANDRA

Last Name

VAN DER WEYDEN

Business Name

ALEXANDRA VAN DER WEYDEN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024