SANDRA L FALLICO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020885

License Status

EXPIRED

Business

First Name

SANDRA L

Last Name

FALLICO

Suffix

Business Name

SANDRA L FALLICO MD

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006