SCOTT JAMES SANDAGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

SCOTT JAMES

Last Name

SANDAGE

Suffix

Business Name

SCOTT JAMES SANDAGE DO

Original Issue Date

08/14/2023

Effective Date

08/14/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2023