STEPHANIE DIANNE GONDRA-SANABRIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

DIANNE

Last Name

GONDRA-SANABRIA

Business Name

STEPHANIE DIANNE GONDRA-SANABRIA MD

Original Issue Date

07/19/2022

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023