SAMUEL SOLOMON LAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160356

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

SOLOMON

Last Name

LAKE

Business Name

SAMUEL SOLOMON LAKE MD

Original Issue Date

04/21/2022

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

BARTLETT

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2023