SAMUEL G CLOUD - Medical Doctor License in Illinois | # 125037048

SAMUEL G CLOUD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037048

License Status

EXPIRED

Business

N

First Name

SAMUEL

Middle

G

Last Name

CLOUD

Business Name

SAMUEL G CLOUD

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/29/2012