ALBERT D SAM II MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031321

License Status

EXPIRED

Business

First Name

ALBERT

Middle

Last Name

SAM

Suffix

II MD

Business Name

ALBERT D SAM II MD

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006