SANDRA B MARCOTTE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044204

License Status

CANCELLED

Business

First Name

SANDRA

Middle

Last Name

MARCOTTE

Suffix

Business Name

SANDRA B MARCOTTE DO

Original Issue Date

05/01/2002

Effective Date

05/01/2002

Expiration Date

06/30/2005

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006