SAMUEL CARY SEIDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

CARY

Last Name

SEIDEN

Suffix

Business Name

SAMUEL CARY SEIDEN MD

Original Issue Date

03/25/2010

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017