MICHELLE MARIE SAMPOLL MARTINEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085552

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

MARIE

Last Name

SAMPOLL MARTINEZ

Business Name

MICHELLE MARIE SAMPOLL MARTINEZ MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/07/2025