WILLIAM SANDOVAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

WILLIAM

Last Name

SANDOVAL

Business Name

WILLIAM SANDOVAL

Original Issue Date

03/15/1994

Effective Date

03/15/1994

Expiration Date

07/31/2002

City

ELK GROVE VILLAGE

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020