SAMUEL M BOURN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031450

License Status

EXPIRED

Business

First Name

SAMUEL M

Last Name

BOURN

Business Name

SAMUEL M BOURN

Original Issue Date

05/24/1994

Effective Date

05/24/1994

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006