SAMUEL S WAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078892

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

WAT

Suffix

Business Name

SAMUEL S WAT MD

Original Issue Date

05/19/1989

Effective Date

04/02/2020

Expiration Date

09/30/2020

City

AURORA

State

Zip

60502

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021