TIMOTHY C SAMELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

TIMOTHY C

Last Name

SAMELSON

Suffix

Business Name

TIMOTHY C SAMELSON MD

Original Issue Date

04/17/1992

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023