SARAH ELIZABETH SANSOM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064945

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

ELIZABETH

Last Name

SANSOM

Business Name

SARAH ELIZABETH SANSOM DO

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2014