RONALD E SAM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029312

License Status

EXPIRED

Business

First Name

RONALD E

Last Name

SAM

Suffix

Business Name

RONALD E SAM DO

Original Issue Date

04/27/1993

Effective Date

04/27/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006