ALEXANDRA JORDAN DOUGLAS PHELPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

ALEXANDRA

Middle

JORDAN DOUGLAS

Last Name

PHELPS

Business Name

ALEXANDRA JORDAN DOUGLAS PHELPS MD

Original Issue Date

05/29/2025

Effective Date

05/29/2025

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2025