ALLEN MARK SAMAREL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

ALLEN

Middle

MARK

Last Name

SAMAREL

Suffix

Business Name

ALLEN MARK SAMAREL MD

Original Issue Date

01/01/1997

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023