SABRINA SUNDARI SAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070906

License Status

CANCELLED

Business

Title

First Name

SABRINA

Middle

SUNDARI

Last Name

SAM

Business Name

SABRINA SUNDARI SAM MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/23/2017