HIU FUNG SAMUEL LAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

HIU FUNG

Middle

SAMUEL

Last Name

LAM

Suffix

Business Name

HIU FUNG SAMUEL LAM MD

Original Issue Date

04/16/2009

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017