SANDRA BOUZAGLOU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069699

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

BOUZAGLOU

Suffix

Business Name

SANDRA BOUZAGLOU MD

Original Issue Date

10/17/1984

Effective Date

10/17/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006