SAMUEL C SHIH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****28

NOT RENEWED

N

SAMUEL C

SHIH

MD

SAMUEL C SHIH MD

09/16/1981

09/16/1981

07/31/1984

NORTHBROOK

IL

60062

COOK

II III IV V

N

04/12/2017