SAMANTHA B CONRAD MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620024

License Status

NOT RENEWED

Business

Business Name

SAMANTHA B CONRAD MD SC

Original Issue Date

07/09/2012

Effective Date

11/20/2012

Expiration Date

01/01/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2014