ANGELA MARY RIAD SAMUEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140101

License Status

INACTIVE

Business

First Name

ANGELA

Middle

MARY RIAD

Last Name

SAMUEL

Suffix

Business Name

ANGELA MARY RIAD SAMUEL MD

Original Issue Date

03/23/2016

Effective Date

03/23/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017