VICKI R SAMUELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

VICKI

Middle

Last Name

SAMUELS

Suffix

Business Name

VICKI R SAMUELS MD

Original Issue Date

06/12/2000

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023