SUBHANKAR SAMAL MD - Medical Doctor License in Wisconsin | # 036171299

SUBHANKAR SAMAL MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171299

License Status

ACTIVE

Business

N

Title

MD

First Name

SUBHANKAR

Last Name

SAMAL

Business Name

SUBHANKAR SAMAL MD

Original Issue Date

07/25/2024

Effective Date

07/25/2024

Expiration Date

07/31/2026

State

WI

Ever Disciplined

N

LastModifiedDate

07/25/2024