SAM J BIAFORA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044760

License Status

EXPIRED

Business

First Name

SAM J

Last Name

BIAFORA

Business Name

SAM J BIAFORA

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/03/2007