ALEXANDER GARETH SAMWORTH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069942

License Status

CANCELLED

Business

Title

First Name

ALEXANDER

Middle

GARETH

Last Name

SAMWORTH

Business Name

ALEXANDER GARETH SAMWORTH MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Regional Anesthesiology and Acute Pain Medicine

Ever Disciplined

LastModifiedDate

01/22/2021