SAMUEL D D AGATA MD - Medical Doctor License in Illinois | # 036077161

SAMUEL D D AGATA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077161

License Status

NOT RENEWED

Business

N

First Name

SAMUEL D

Last Name

D AGATA

Suffix

MD

Business Name

SAMUEL D D AGATA MD

Original Issue Date

06/25/1988

Effective Date

06/25/1988

Expiration Date

07/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006