MONICA KRISTIN SAMELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

MONICA

Middle

KRISTIN

Last Name

SAMELSON

Business Name

MONICA KRISTIN SAMELSON MD

Original Issue Date

03/16/2023

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023