JUSTIN MICHAEL SACKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

MICHAEL

Last Name

SACKS

Business Name

JUSTIN MICHAEL SACKS MD

Original Issue Date

08/14/2023

Effective Date

08/14/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2023