SAMUEL WESLEY WHITE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070374

License Status

EXPIRED

Business

Title

First Name

SAMUEL

Middle

WESLEY

Last Name

WHITE

Business Name

SAMUEL WESLEY WHITE MD

Original Issue Date

03/23/2021

Effective Date

03/23/2021

Expiration Date

06/23/2021

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022