ALEXANDRA HELEN GENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

HELEN

Last Name

GENS

Business Name

ALEXANDRA HELEN GENS MD

Original Issue Date

05/26/2020

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023