SANDRA J KNUTH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024805

License Status

EXPIRED

Business

First Name

SANDRA J

Last Name

KNUTH

Suffix

Business Name

SANDRA J KNUTH DO

Original Issue Date

05/16/1990

Effective Date

05/16/1990

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006