SHANTHARAJ SAMUEL MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005315

License Status

NOT RENEWED

Business

Business Name

SHANTHARAJ SAMUEL MD SC

Original Issue Date

12/06/1982

Effective Date

12/03/2013

Expiration Date

01/01/2015

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2015