SAMUEL L MOLTZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114262

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

MOLTZ

Business Name

SAMUEL L MOLTZ

Original Issue Date

07/26/2005

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

Ever Disciplined

LastModifiedDate

05/09/2023