ALEXANDRA ELENA BARACAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

ELENA

Last Name

BARACAN

Business Name

ALEXANDRA ELENA BARACAN MD

Original Issue Date

01/14/2013

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017