KERBY ASHLEY SAMUELS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

KERBY

Middle

ASHLEY

Last Name

SAMUELS

Suffix

Business Name

KERBY ASHLEY SAMUELS MD

Original Issue Date

08/05/2013

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023