RIYA MARY SAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074093

License Status

ACTIVE

Business

Title

First Name

RIYA

Middle

MARY

Last Name

SAM

Business Name

RIYA MARY SAM MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

02/04/2025