JEFFREY SAM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078230

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Last Name

SAM

Prefix

Business Name

JEFFREY SAM DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

LEMONT

State

Zip

60439

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2021