SAMUEL SANDBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

SANDBERG

Suffix

Business Name

SAMUEL SANDBERG MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006