HIEMIE SIMON SAMUELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040649

License Status

NOT RENEWED

Business

First Name

HIEMIE SIMON

Last Name

SAMUELS

Suffix

Business Name

HIEMIE SIMON SAMUELS MD

Original Issue Date

08/31/1966

Effective Date

08/31/1966

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006