JOSEPH BRADLEY SAMUELS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006671

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

BRADLEY

Last Name

SAMUELS

Business Name

JOSEPH BRADLEY SAMUELS

Original Issue Date

07/25/2018

Effective Date

01/08/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025