SAMUEL CAREY VENTURELLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055505

License Status

EXPIRED

Business

Title

First Name

SAMUEL

Middle

CAREY

Last Name

VENTURELLA

Business Name

SAMUEL CAREY VENTURELLA MD

Original Issue Date

07/07/2011

Effective Date

07/07/2011

Expiration Date

07/06/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

08/29/2012