SAMUEL E GOLDEN MD 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

SAMUEL E

Last Name

GOLDEN

Suffix

Business Name

SAMUEL E GOLDEN MD

Original Issue Date

07/06/1993

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020