SAMUEL ADAM PRISSEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082765

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

ADAM

Last Name

PRISSEL

Business Name

SAMUEL ADAM PRISSEL DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/02/2023