SANDRA T LABAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094625

License Status

ACTIVE

Business

First Name

SANDRA T

Last Name

LABAK

Suffix

Business Name

SANDRA T LABAK DO

Original Issue Date

12/24/1996

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

BOONE

Ever Disciplined

LastModifiedDate

06/08/2023