MARYAM N SANDOVAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098591

License Status

ACTIVE

Business

First Name

MARYAM

Middle

Last Name

SANDOVAL

Suffix

Business Name

MARYAM N SANDOVAL MD

Original Issue Date

08/06/1998

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023