SAMUEL DAVID MOUNCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084476

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

DAVID

Last Name

MOUNCE

Business Name

SAMUEL DAVID MOUNCE MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/11/2024