SAM JACOB APICHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

SAM JACOB

Last Name

APICHAI

Suffix

Business Name

SAM JACOB APICHAI MD

Original Issue Date

01/01/1997

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017