SAMUEL HOWARD WURSTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

HOWARD

Last Name

WURSTER

Business Name

SAMUEL HOWARD WURSTER MD

Original Issue Date

02/16/2006

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2011