VARMAN T SAMUEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

VARMAN

Middle

Last Name

SAMUEL

Business Name

VARMAN T SAMUEL

Original Issue Date

03/23/1999

Effective Date

03/23/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006