SOO MI LEE-SAMUEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109024

License Status

ACTIVE

Business

Title

First Name

SOO

Middle

Last Name

LEE-SAMUEL

Business Name

SOO MI LEE-SAMUEL MD

Original Issue Date

04/16/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023