JUSTIN PUTHUVELIL ALEXANDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

PUTHUVELIL

Last Name

ALEXANDER

Business Name

JUSTIN PUTHUVELIL ALEXANDER MD

Original Issue Date

08/27/2021

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023