CHRISTIAN GENE SAMUELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053606

License Status

EXPIRED

Business

Title

First Name

CHRISTIAN

Middle

GENE

Last Name

SAMUELSON

Business Name

CHRISTIAN GENE SAMUELSON MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/26/2008