GRETCHEN ANNE SANDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

GRETCHEN

Middle

ANNE

Last Name

SANDER

Suffix

Business Name

GRETCHEN ANNE SANDER MD

Original Issue Date

07/11/2007

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021