SAMSON O OTUWA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083145

License Status

NOT RENEWED

Business

Title

First Name

SAMSON

Middle

Last Name

OTUWA

Business Name

SAMSON O OTUWA MD

Original Issue Date

08/19/1991

Effective Date

08/19/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006