SAMUEL C DUDLEY JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026267

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

Last Name

DUDLEY

Suffix

JR MD

Business Name

SAMUEL C DUDLEY JR MD

Original Issue Date

04/24/1991

Effective Date

04/24/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60690

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006