SALLY RADOVICK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102751

License Status

INACTIVE

Business

First Name

SALLY

Last Name

RADOVICK

Suffix

Business Name

SALLY RADOVICK MD

Original Issue Date

06/20/2000

Effective Date

05/27/2008

Expiration Date

07/31/2011

City

BALTIMORE

State

Zip

21218

County

MARYLAND

Ever Disciplined

LastModifiedDate

05/01/2015