DANIELLA SANDOVAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073870

License Status

CANCELLED

Business

Title

First Name

DANIELLA

Last Name

SANDOVAL

Business Name

DANIELLA SANDOVAL MD

Original Issue Date

06/21/2019

Effective Date

06/21/2019

Expiration Date

06/20/2022

City

CHICAGO

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/10/2019