KERBY ASHLEY SAMUELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133359

License Status

ACTIVE

Business

First Name

KERBY

Middle

ASHLEY

Last Name

SAMUELS

Suffix

Business Name

KERBY ASHLEY SAMUELS MD

Original Issue Date

06/20/2013

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023