SUSAN SAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097450

License Status

ACTIVE

Business

First Name

SUSAN

Last Name

SAM

Suffix

Business Name

SUSAN SAM MD

Original Issue Date

03/16/1998

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2023