SALLY J BELCOVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071350

License Status

NOT RENEWED

Business

First Name

SALLY J

Last Name

BELCOVE

Suffix

Business Name

SALLY J BELCOVE MD

Original Issue Date

08/02/1985

Effective Date

08/02/1985

Expiration Date

07/31/1990

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006