SAMUEL J MULTACK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052475

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

Last Name

MULTACK

Business Name

SAMUEL J MULTACK DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

06/12/2008