SANDRA L VEGA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

VEGA

Business Name

SANDRA L VEGA

Original Issue Date

10/21/1996

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021