SAMUEL DEAN BARNETT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072631

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

DEAN

Last Name

BARNETT

Business Name

SAMUEL DEAN BARNETT MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/17/2018