JUSTIN MICHAEL SACKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159224

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

MICHAEL

Last Name

SACKS

Business Name

JUSTIN MICHAEL SACKS MD

Original Issue Date

01/20/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/01/2023