JOHNNY OCTAVIOUS ALEXANDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128037

License Status

ACTIVE

Business

First Name

JOHNNY

Middle

OCTAVIOUS

Last Name

ALEXANDER

Suffix

Business Name

JOHNNY OCTAVIOUS ALEXANDER MD

Original Issue Date

06/06/2011

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

BEACHWOOD

State

Zip

44122

Ever Disciplined

LastModifiedDate

03/08/2024