SAM A GILBERT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029321

License Status

EXPIRED

Business

First Name

SAM

Middle

Last Name

GILBERT

Business Name

SAM A GILBERT

Original Issue Date

04/29/1993

Effective Date

04/29/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006