FERN ALICE R SANNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029849

License Status

NOT RENEWED

Business

First Name

FERN ALICE R

Last Name

SANNER

Suffix

Business Name

FERN ALICE R SANNER MD

Original Issue Date

12/05/1949

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011