SAMUEL JACKSON YATES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165413

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

JACKSON

Last Name

YATES

Business Name

SAMUEL JACKSON YATES MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2023