TIMOTHY ALLEN SANBORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

ALLEN

Last Name

SANBORN

Suffix

Business Name

TIMOTHY ALLEN SANBORN MD

Original Issue Date

05/22/2000

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021