SANDRA L FALLICO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

SANDRA L

Last Name

FALLICO

Suffix

Business Name

SANDRA L FALLICO MD

Original Issue Date

10/05/1988

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023