SHELLEY ALLISON SANDIFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

SHELLEY

Middle

ALLISON

Last Name

SANDIFORD

Business Name

SHELLEY ALLISON SANDIFORD MD

Original Issue Date

06/13/2018

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023