SAMUEL STEPHENS KINGSLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

STEPHENS

Last Name

KINGSLEY

Suffix

Business Name

SAMUEL STEPHENS KINGSLEY MD

Original Issue Date

02/05/2009

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023