SAMARA GREEN CRUDUP MD - Medical Doctor License in Illinois | # 036124522

SAMARA GREEN CRUDUP MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124522

License Status

ACTIVE

Business

N

First Name

SAMARA

Middle

GREEN

Last Name

CRUDUP

Suffix

MD

Business Name

SAMARA GREEN CRUDUP MD

Original Issue Date

10/21/2009

Effective Date

08/19/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/19/2023