JACK M ALEXANDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

JACK M

Last Name

ALEXANDER

Suffix

Business Name

JACK M ALEXANDER MD

Original Issue Date

11/16/1983

Effective Date

11/16/1983

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006