ANDREW D SAGALOV DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079813

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

Last Name

SAGALOV

Business Name

ANDREW D SAGALOV DO

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/24/2025