SANDRA K SURBRUGG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

SANDRA K

Last Name

SURBRUGG

Suffix

Business Name

SANDRA K SURBRUGG MD

Original Issue Date

12/26/1985

Effective Date

12/26/1985

Expiration Date

07/31/1990

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006