ROLAND SANFORD MEDANSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

ROLAND

Middle

SANFORD

Last Name

MEDANSKY

Suffix

Business Name

ROLAND SANFORD MEDANSKY MD

Original Issue Date

01/01/1997

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011