KRYSTAL THOMAS SAMUEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128732

License Status

ACTIVE

Business

Title

First Name

KRYSTAL

Middle

THOMAS

Last Name

SAMUEL

Business Name

KRYSTAL THOMAS SAMUEL DO

Original Issue Date

08/08/2011

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

03/11/2026