SAMANTHA GHANAYEM BOUIKIDIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065487

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Last Name

GHANAYEM BOUIKIDIS

Business Name

SAMANTHA GHANAYEM BOUIKIDIS MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

07/12/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017