SAMUEL KLEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

CANCELLED

Business

First Name

SAMUEL

Last Name

KLEIN

Suffix

Business Name

SAMUEL KLEIN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006