SAMUEL S WAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020037

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

Last Name

WAT

Suffix

Business Name

SAMUEL S WAT MD

Original Issue Date

07/08/1986

Effective Date

07/08/1986

Expiration Date

07/01/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006