SANDRA KREPLICK FERNBACH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060294

License Status

INACTIVE

Business

First Name

SANDRA KREPLICK

Last Name

FERNBACH

Suffix

Business Name

SANDRA KREPLICK FERNBACH MD

Original Issue Date

05/16/1980

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014