ALAN ROY SANDIDGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039686

License Status

EXPIRED

Business

First Name

ALAN

Middle

ROY

Last Name

SANDIDGE

Suffix

Business Name

ALAN ROY SANDIDGE MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006