DAVID B SANDERCOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

Last Name

SANDERCOCK

Business Name

DAVID B SANDERCOCK MD

Original Issue Date

07/26/1999

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023