ALEXANDRE CHRISTOPHE D'AUDIFFRET MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

ALEXANDRE

Middle

CHRISTOPHE

Last Name

D'AUDIFFRET

Business Name

ALEXANDRE CHRISTOPHE D'AUDIFFRET MD

Original Issue Date

07/02/2019

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023