ANDREW DAVIS-SANDFOSS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073445

License Status

CANCELLED

Business

Title

First Name

ANDREW

Last Name

DAVIS-SANDFOSS

Business Name

ANDREW DAVIS-SANDFOSS MD

Original Issue Date

08/01/2022

Effective Date

08/01/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

05/11/2022