SARA HEATHER SMALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152566

License Status

NOT RENEWED

Business

Title

First Name

SARA

Middle

HEATHER

Last Name

SMALL

Business Name

SARA HEATHER SMALL MD

Original Issue Date

04/14/2020

Effective Date

04/14/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023