INDIRA DEJESUS-ALVELO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

INDIRA

Last Name

DEJESUS-ALVELO

Business Name

INDIRA DEJESUS-ALVELO MD

Original Issue Date

12/31/2020

Effective Date

12/31/2020

Expiration Date

07/31/2023

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023