SAMUEL ALEXANDER LINARES GAVIDIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

ALEXANDER

Last Name

LINARES GAVIDIA

Business Name

SAMUEL ALEXANDER LINARES GAVIDIA MD

Original Issue Date

08/07/2023

Effective Date

08/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2023