SAMANTHA LEE HEYWOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070857

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

LEE

Last Name

HEYWOOD

Business Name

SAMANTHA LEE HEYWOOD MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/25/2018