SAMUEL DOREVITCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083148

License Status

INACTIVE

Business

First Name

SAMUEL

Last Name

DOREVITCH

Suffix

Business Name

SAMUEL DOREVITCH MD

Original Issue Date

08/07/1991

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020