SAMANTHA THOMAS KAY-GREEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077772

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

THOMAS

Last Name

KAY-GREEN

Business Name

SAMANTHA THOMAS KAY-GREEN MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/30/2024