CHRISTOPHER PHILLIP SAMUELS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000540

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

PHILLIP

Last Name

SAMUELS

Suffix

Business Name

CHRISTOPHER PHILLIP SAMUELS MD

Original Issue Date

03/01/2002

Effective Date

03/01/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006