SAMANTHA L PACE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056568

License Status

EXPIRED

Business

First Name

SAMANTHA

Middle

Last Name

PACE

Suffix

Business Name

SAMANTHA L PACE MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/07/2013