SCOTT JAMES SANDAGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

SCOTT JAMES

Last Name

SANDAGE

Suffix

Business Name

SCOTT JAMES SANDAGE DO

Original Issue Date

09/16/1982

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

WAUWATOSA

State

Zip

53226

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023