SAM SADEGH MALAKOUTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131773

License Status

NOT RENEWED

Business

Title

First Name

SAM

Middle

SADEGH

Last Name

MALAKOUTI

Business Name

SAM SADEGH MALAKOUTI MD

Original Issue Date

11/28/2012

Effective Date

10/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021