SANDY ADELSHAFIEK BOTROS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066142

License Status

EXPIRED

Business

Title

First Name

SANDY

Middle

ADELSHAFIEK

Last Name

BOTROS

Business Name

SANDY ADELSHAFIEK BOTROS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018