SANDRA L VEGA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

SANDRA L

Last Name

VEGA

Business Name

SANDRA L VEGA

Original Issue Date

09/16/2022

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023