ALEC SAMUEL SMALL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166609

License Status

ACTIVE

Business

Title

First Name

ALEC

Middle

SAMUEL

Last Name

SMALL

Business Name

ALEC SAMUEL SMALL DO

Original Issue Date

08/18/2023

Effective Date

08/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2024