ALEXANDRA BUCKWALTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084151

License Status

ACTIVE

Business

Title

First Name

ALEXANDRA

Last Name

BUCKWALTER

Business Name

ALEXANDRA BUCKWALTER MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2024