GRETCHEN B SANFORD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055988

License Status

CANCELLED

Business

Title

First Name

GRETCHEN

Middle

Last Name

SANFORD

Business Name

GRETCHEN B SANFORD DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/20/2009