MAHMOUD SAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040913

License Status

INACTIVE

Business

First Name

MAHMOUD

Last Name

SAM

Suffix

Business Name

MAHMOUD SAM MD

Original Issue Date

02/16/1967

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011