SAMUEL KRABBENHOFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083655

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Last Name

KRABBENHOFT

Business Name

SAMUEL KRABBENHOFT MD

Original Issue Date

06/21/2024

Effective Date

06/21/2024

Expiration Date

06/20/2027

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2024