SAMUEL JAMES HAYWARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053298

License Status

CANCELLED

Business

First Name

SAMUEL

Middle

JAMES

Last Name

HAYWARD

Suffix

Business Name

SAMUEL JAMES HAYWARD MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/18/2011