ANGELA MARY RIAD SAMUEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062979

License Status

CANCELLED

Business

First Name

ANGELA

Middle

MARY RIAD

Last Name

SAMUEL

Suffix

Business Name

ANGELA MARY RIAD SAMUEL MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014