GISELA MARIA SANDOVAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

GISELA

Middle

MARIA

Last Name

SANDOVAL

Suffix

Business Name

GISELA MARIA SANDOVAL MD

Original Issue Date

05/18/2010

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014