SANDRA T LABAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

SANDRA T

Last Name

LABAK

Suffix

Business Name

SANDRA T LABAK DO

Original Issue Date

03/20/1997

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023