SAMUEL OO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084023

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Last Name

Business Name

SAMUEL OO DO

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2027

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/13/2024