SANDRA FENSTER BOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037865

License Status

NOT RENEWED

Business

First Name

SANDRA FENSTER

Last Name

BOX

Suffix

Business Name

SANDRA FENSTER BOX MD

Original Issue Date

08/21/1962

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014