SAM F HULL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

SAM

Middle

Last Name

HULL

Business Name

SAM F HULL

Original Issue Date

12/19/2003

Effective Date

08/14/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021