SARAH MARTIN MENDENHALL 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

SARAH

Middle

MARTIN

Last Name

MENDENHALL

Suffix

Business Name

SARAH MARTIN MENDENHALL MD

Original Issue Date

06/08/1999

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017