AUSTIN SAMUEL SIMPSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079734

License Status

CANCELLED

Business

Title

First Name

AUSTIN

Middle

SAMUEL

Last Name

SIMPSON

Business Name

AUSTIN SAMUEL SIMPSON MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/09/2022