SANDY M KWAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

SANDY M

Last Name

KWAK

Suffix

Business Name

SANDY M KWAK MD

Original Issue Date

10/26/1999

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023