SANDRA LUKIC GRABA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053988

License Status

CANCELLED

Business

Title

First Name

SANDRA

Middle

LUKIC

Last Name

GRABA

Business Name

SANDRA LUKIC GRABA MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/23/2008