SAMUEL R BUNTING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078126

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

Last Name

BUNTING

Business Name

SAMUEL R BUNTING MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/09/2021