JACOB SAMUEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018931

License Status

EXPIRED

Business

First Name

JACOB

Last Name

SAMUEL

Suffix

Business Name

JACOB SAMUEL MD

Original Issue Date

07/30/1985

Effective Date

07/30/1985

Expiration Date

05/07/1987

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006