SANDRA ANNETTE PAGAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051500

License Status

EXPIRED

Business

First Name

SANDRA

Middle

ANNETTE

Last Name

PAGAN

Suffix

Business Name

SANDRA ANNETTE PAGAN MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009