SARAH A AUGUSTINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

AUGUSTINE

Suffix

Business Name

SARAH A AUGUSTINE MD

Original Issue Date

05/10/2000

Effective Date

05/10/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006