Shirly Susan Samuel Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125076605

Status

Inactive (Cancelled)

First issued

July 1, 2020

Expired

June 30, 2023

License holder

Shirly Susan Samuel

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Internal Medicine

Current term began

07/01/2020

Other Illinois licenses under this name

• IL
  Shirly Susan Samuel Md

  License 036165713 · Shirly Susan Samuel

  Licensed Physician and Surgeon (Medical Board)
  Active

  Oak Park, IL

  Expires Jul 31, 2029
• IL
  Shirly Susan Samuel Md

  License 33*****07 · Shirly Susan Samuel

  Licensed Physician Controlled Substance (Medical Board)
  Active

  Chicago, IL

  Expires Jul 31, 2029

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