LAWRENCE SAMUELS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020396

License Status

EXPIRED

Business

First Name

LAWRENCE

Last Name

SAMUELS

Business Name

LAWRENCE SAMUELS

Original Issue Date

12/10/1986

Effective Date

12/10/1986

Expiration Date

09/19/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006