ALEXANDER D BLEVENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

CANCELLED

Business

First Name

ALEXANDER D

Last Name

BLEVENS

Suffix

Business Name

ALEXANDER D BLEVENS MD

Original Issue Date

03/06/1987

Effective Date

03/06/1987

Expiration Date

07/31/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006