CHRISTIAN GENE SAMUELSON MD - Medical Doctor License in Illinois | # 125053606

CHRISTIAN GENE SAMUELSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053606

License Status

EXPIRED

Business

N

Title

MD

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

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

06/26/2008