SAMUEL STEPHENS KINGSLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122553

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

STEPHENS

Last Name

KINGSLEY

Suffix

Business Name

SAMUEL STEPHENS KINGSLEY MD

Original Issue Date

02/03/2009

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023