ANDREA LUCIANNA SANDOVAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065263

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

LUCIANNA

Last Name

SANDOVAL

Business Name

ANDREA LUCIANNA SANDOVAL MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/19/2017