SAMSON O OTUWA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024385

License Status

EXPIRED

Business

Title

First Name

SAMSON

Middle

Last Name

OTUWA

Business Name

SAMSON O OTUWA MD

Original Issue Date

07/05/1989

Effective Date

07/05/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006