PENELOPE ALEXANDRIA SANDIFORD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123332

License Status

ACTIVE

Business

First Name

PENELOPE

Middle

ALEXANDRIA

Last Name

SANDIFORD

Business Name

PENELOPE ALEXANDRIA SANDIFORD

Original Issue Date

05/04/2009

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

06/22/2023