SAM GAINES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

GAINES

Suffix

Business Name

SAM GAINES MD

Original Issue Date

10/05/1988

Effective Date

10/05/1988

Expiration Date

07/31/1990

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020