SAMUEL L HUTSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060054

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

Last Name

HUTSON

Business Name

SAMUEL L HUTSON MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014