SAMUEL HIGGINS BARRY MD - Medical Doctor License in Illinois | # 125071989

SAMUEL HIGGINS BARRY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071989

License Status

EXPIRED

Business

N

Title

MD

First Name

SAMUEL

Middle

HIGGINS

Last Name

BARRY

Business Name

SAMUEL HIGGINS BARRY MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2019

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/02/2019