EWA IRENA ALEXANDER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

EWA

Middle

IRENA

Last Name

ALEXANDER

Business Name

EWA IRENA ALEXANDER

Original Issue Date

03/07/2005

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020