BRIAN D SANDRIDGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024654

License Status

EXPIRED

Business

First Name

BRIAN D

Last Name

SANDRIDGE

Suffix

Business Name

BRIAN D SANDRIDGE MD

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

05/06/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006