PHILIP JADE DESAMOUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085193

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

JADE

Last Name

DESAMOUR

Business Name

PHILIP JADE DESAMOUR MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2028

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/28/2025