SAMUEL D WILLENS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001804

License Status

NOT RENEWED

Business

Business Name

SAMUEL D WILLENS MD SC

Original Issue Date

06/14/1973

Effective Date

06/14/1973

Expiration Date

01/01/1987

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006