RUTH LOUISE SAMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

RUTH

Middle

LOUISE

Last Name

SAMPSON

Suffix

Business Name

RUTH LOUISE SAMPSON MD

Original Issue Date

01/05/2007

Effective Date

01/05/2007

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011