BLAKE STERLING SANFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166146

License Status

ACTIVE

Business

Title

First Name

BLAKE

Middle

STERLING

Last Name

SANFORD

Business Name

BLAKE STERLING SANFORD MD

Original Issue Date

07/25/2023

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/21/2023