SMITHA GRACE C SAMUEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

SMITHA GRACE

Middle

Last Name

SAMUEL

Business Name

SMITHA GRACE C SAMUEL MD

Original Issue Date

08/16/2011

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

SCHAUMBURG

State

Zip

60194

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023