SAMUEL ETHAN KLEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154197

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

ETHAN

Last Name

KLEIN

Business Name

SAMUEL ETHAN KLEIN MD

Original Issue Date

09/08/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023