SANDRA M SOARES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

SANDRA M

Last Name

SOARES

Suffix

Business Name

SANDRA M SOARES MD

Original Issue Date

03/19/1985

Effective Date

03/19/1985

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006