HERGA K SAMANTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046321

License Status

NOT RENEWED

Business

First Name

HERGA K

Last Name

SAMANTH

Suffix

Business Name

HERGA K SAMANTH MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006