SARAH MICHAL MADRID MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056920

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

MICHAL

Last Name

MADRID

Business Name

SARAH MICHAL MADRID MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/12/2009