SAMUEL ETHAN KLEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

ETHAN

Last Name

KLEIN

Business Name

SAMUEL ETHAN KLEIN MD

Original Issue Date

02/08/2021

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2023