RONALD E SAM DO - Medical Doctor License in Illinois | # 125029312

RONALD E SAM DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029312

License Status

EXPIRED

Business

N

First Name

RONALD E

Last Name

SAM

Suffix

DO

Business Name

RONALD E SAM DO

Original Issue Date

04/27/1993

Effective Date

04/27/1993

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006