SAMUEL JACOB WAINWRIGHT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

JACOB

Last Name

WAINWRIGHT

Business Name

SAMUEL JACOB WAINWRIGHT

Original Issue Date

04/27/2021

Effective Date

04/28/2023

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

04/28/2023