SALLY JEAN SIDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

JEAN

Last Name

SIDMAN

Suffix

Business Name

SALLY JEAN SIDMAN MD

Original Issue Date

08/31/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011