SAMUEL ANTHONY LIBEU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061065

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

ANTHONY

Last Name

LIBEU

Business Name

SAMUEL ANTHONY LIBEU MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014