BEJE SAM THOMAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046169

License Status

EXPIRED

Business

Title

First Name

BEJE

Middle

SAM

Last Name

THOMAS

Business Name

BEJE SAM THOMAS MD

Original Issue Date

06/25/2003

Effective Date

06/25/2003

Expiration Date

06/24/2006

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006