ALEXANDRA LOUISE VAN METER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

LOUISE

Last Name

VAN METER

Business Name

ALEXANDRA LOUISE VAN METER MD

Original Issue Date

10/04/2011

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

11/01/2017