SAMUEL C DUDLEY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

DUDLEY

Suffix

JR MD

Business Name

SAMUEL C DUDLEY JR MD

Original Issue Date

07/14/1993

Effective Date

07/14/1993

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020