BETH HOLLY SAMUELSOHN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101572

License Status

ACTIVE

Business

First Name

BETH

Middle

HOLLY

Last Name

SAMUELSOHN

Suffix

Business Name

BETH HOLLY SAMUELSOHN DO

Original Issue Date

11/04/1999

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023