ELIZABETH E SAMUELS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

Last Name

SAMUELS

Business Name

ELIZABETH E SAMUELS DO

Original Issue Date

09/24/2022

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023