SAMANTHA GLASS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073289

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Last Name

GLASS

Business Name

SAMANTHA GLASS MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022