SAMUEL SANDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059218

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

SANDBERG

Suffix

Business Name

SAMUEL SANDBERG MD

Original Issue Date

08/20/1979

Effective Date

01/14/2008

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/06/2008