SHIRLY SUSAN SAMUEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165713

License Status

ACTIVE

Business

Title

First Name

SHIRLY

Middle

SUSAN

Last Name

SAMUEL

Business Name

SHIRLY SUSAN SAMUEL MD

Original Issue Date

07/05/2023

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2023