P K ALEXANDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

P K

Last Name

ALEXANDER

Suffix

Business Name

P K ALEXANDER MD

Original Issue Date

03/09/1982

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60633

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021