SAMARA GREEN CRUDUP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

SAMARA

Middle

GREEN

Last Name

CRUDUP

Suffix

Business Name

SAMARA GREEN CRUDUP MD

Original Issue Date

08/02/2010

Effective Date

08/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2023