RICHARD V SANDBURG Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001669

License Status

INACTIVE

Business

First Name

RICHARD V

Last Name

SANDBURG

Business Name

RICHARD V SANDBURG

Original Issue Date

07/08/1940

Effective Date

07/08/1940

Expiration Date

01/31/1989

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/25/2006