SAM GAINES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057022

License Status

ACTIVE

Business

First Name

SAM

Last Name

GAINES

Suffix

Business Name

SAM GAINES MD

Original Issue Date

07/13/1978

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/06/2023