SAMARA GREEN CRUDUP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124522

License Status

ACTIVE

Business

First Name

SAMARA

Middle

GREEN

Last Name

CRUDUP

Suffix

Business Name

SAMARA GREEN CRUDUP MD

Original Issue Date

10/21/2009

Effective Date

08/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

08/19/2023