SAMUEL HIGGINS BARRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071989

License Status

EXPIRED

Business

Title

First Name

SAMUEL

Middle

HIGGINS

Last Name

BARRY

Business Name

SAMUEL HIGGINS BARRY MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2019

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019