SAMUEL T AHN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023430

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

Last Name

AHN

Business Name

SAMUEL T AHN

Original Issue Date

04/27/1989

Effective Date

04/27/1989

Expiration Date

07/01/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006