SANDRA INDACOCHEA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055488

License Status

EXPIRED

Business

Title

First Name

SANDRA

Last Name

INDACOCHEA

Business Name

SANDRA INDACOCHEA MD

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

07/01/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010