TODD AUSTIN SANDROCK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100651

License Status

NOT RENEWED

Business

First Name

TODD

Middle

AUSTIN

Last Name

SANDROCK

Suffix

Business Name

TODD AUSTIN SANDROCK DO

Original Issue Date

07/14/1999

Effective Date

07/14/1999

Expiration Date

07/31/2002

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

10/09/2006