SAMUEL MICHAEL SERED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

MICHAEL

Last Name

SERED

Suffix

Business Name

SAMUEL MICHAEL SERED MD

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

07/31/2008

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011