KIMBERLEY JAYNE SAMPSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060658

License Status

CANCELLED

Business

Title

First Name

KIMBERLEY

Middle

JAYNE

Last Name

SAMPSON

Business Name

KIMBERLEY JAYNE SAMPSON MD

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

07/05/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

03/24/2014