BHARATHI SAMY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

BHARATHI

Last Name

SAMY

Business Name

BHARATHI SAMY

Original Issue Date

10/21/1991

Effective Date

10/21/1991

Expiration Date

07/31/1993

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020