ZITA SUSAN SAMUEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043683

License Status

EXPIRED

Business

First Name

ZITA

Middle

SUSAN

Last Name

SAMUEL

Suffix

Business Name

ZITA SUSAN SAMUEL MD

Original Issue Date

07/12/2001

Effective Date

07/12/2001

Expiration Date

07/11/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006