RICHARD BLAINE SAMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059662

License Status

NOT RENEWED

Business

First Name

RICHARD BLAINE

Last Name

SAMPSON

Suffix

Business Name

RICHARD BLAINE SAMPSON MD

Original Issue Date

10/26/1979

Effective Date

10/26/1979

Expiration Date

07/01/1982

City

BRIDGEVIEW

State

Zip

60456

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006