SAMPSON B SARPONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

SAMPSON B

Last Name

SARPONG

Business Name

SAMPSON B SARPONG

Original Issue Date

08/07/1996

Effective Date

08/07/1996

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006