SAMUEL J GIRGIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

SAMUEL J

Last Name

GIRGIS

Suffix

Business Name

SAMUEL J GIRGIS MD

Original Issue Date

08/14/1996

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020