PETER AIAD SAMUEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

AIAD

Last Name

SAMUEL

Business Name

PETER AIAD SAMUEL MD

Original Issue Date

03/20/2015

Effective Date

08/22/2017

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021