JULIA C J SANSBURY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

JULIA

Middle

C J

Last Name

SANSBURY

Business Name

JULIA C J SANSBURY MD

Original Issue Date

08/13/2014

Effective Date

08/13/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017