SCOTT JAMES SANDAGE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

SCOTT JAMES

Last Name

SANDAGE

Suffix

Business Name

SCOTT JAMES SANDAGE DO

Original Issue Date

06/29/1989

Effective Date

06/29/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020