ALEXANDER TENNYSON HINCKLEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Middle

TENNYSON

Last Name

HINCKLEY

Business Name

ALEXANDER TENNYSON HINCKLEY DO

Original Issue Date

02/03/2016

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021