JULIE A SAMUELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JULIE A

Last Name

SAMUELS

Suffix

Business Name

JULIE A SAMUELS MD

Original Issue Date

07/22/1985

Effective Date

07/22/1985

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006