SAMUEL WAFAA GUIRGUIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

WAFAA

Last Name

GUIRGUIS

Business Name

SAMUEL WAFAA GUIRGUIS DO

Original Issue Date

04/25/2012

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023