License Directory

Shantharaj Samuel Md

Expired

Illinois license 036041957

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036041957
Status
Expired (Not Renewed)
First issued
July 18, 1968
Expired
September 30, 2020
License holder
Shantharaj Samuel Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/11/2017

Other Illinois licenses under this name

  • IL
    Shantharaj Samuel Md
    License 33*****76
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Chicago, IL
    Expired Sep 30, 2020

Contact

Chicago, IL 60634
Cook County