KIMBERLEY JAYNE SAMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135459

License Status

NOT RENEWED

Business

Title

First Name

KIMBERLEY

Middle

JAYNE

Last Name

SAMPSON

Business Name

KIMBERLEY JAYNE SAMPSON MD

Original Issue Date

06/10/2014

Effective Date

06/10/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017