SCOTT JAMES SANDAGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064120

License Status

ACTIVE

Business

First Name

SCOTT JAMES

Last Name

SANDAGE

Suffix

Business Name

SCOTT JAMES SANDAGE DO

Original Issue Date

03/30/1982

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2023