SEMBUA SAMUEL DANIELI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040120

License Status

EXPIRED

Business

First Name

SEMBUA

Middle

SAMUEL

Last Name

DANIELI

Suffix

Business Name

SEMBUA SAMUEL DANIELI MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006