JUSTIN PUTHUVELIL ALEXANDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077119

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

PUTHUVELIL

Last Name

ALEXANDER

Business Name

JUSTIN PUTHUVELIL ALEXANDER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

05/09/2020