STEPHANIE DIANNE GONDRA-SANABRIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161251

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

DIANNE

Last Name

GONDRA-SANABRIA

Business Name

STEPHANIE DIANNE GONDRA-SANABRIA MD

Original Issue Date

07/08/2022

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/20/2023