SAMUEL R HORTON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035640

License Status

CANCELLED

Business

First Name

SAMUEL

Middle

Last Name

HORTON

Business Name

SAMUEL R HORTON

Original Issue Date

04/03/1997

Effective Date

04/03/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006