SAM JACOB APICHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054425

License Status

NOT RENEWED

Business

First Name

SAM JACOB

Last Name

APICHAI

Suffix

Business Name

SAM JACOB APICHAI MD

Original Issue Date

04/14/1977

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017