ALEXANDER JAMES SMALL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077350

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Middle

JAMES

Last Name

SMALL

Business Name

ALEXANDER JAMES SMALL MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/08/2021