SANDRA K SURBRUGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070915

License Status

NOT RENEWED

Business

First Name

SANDRA K

Last Name

SURBRUGG

Suffix

Business Name

SANDRA K SURBRUGG MD

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

07/31/1990

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/20/2006