SAMUEL HOLLINGSWORTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013419

License Status

EXPIRED

Business

First Name

SAMUEL

Last Name

HOLLINGSWORTH

Suffix

Business Name

SAMUEL HOLLINGSWORTH MD

Original Issue Date

08/07/1981

Effective Date

08/07/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006