SAMUEL JACOB HEALY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065551

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

JACOB

Last Name

HEALY

Business Name

SAMUEL JACOB HEALY DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/02/2014