KIMBERLY NI'COL SANFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

NI'COL

Last Name

SANFORD

Business Name

KIMBERLY NI'COL SANFORD MD

Original Issue Date

07/19/2011

Effective Date

09/25/2025

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020