SANDRA LYNN WORRELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049837

License Status

CANCELLED

Business

Title

First Name

SANDRA

Middle

LYNN

Last Name

WORRELL

Business Name

SANDRA LYNN WORRELL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006