KENNETH LEE SANDOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043547

License Status

NOT RENEWED

Business

First Name

KENNETH LEE

Last Name

SANDOCK

Suffix

Business Name

KENNETH LEE SANDOCK MD

Original Issue Date

07/13/1970

Effective Date

07/13/1970

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006