SAMANTHA LYNN AHLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157174

License Status

NOT RENEWED

Business

Title

First Name

SAMANTHA

Middle

LYNN

Last Name

AHLE

Business Name

SAMANTHA LYNN AHLE MD

Original Issue Date

06/02/2021

Effective Date

06/02/2021

Expiration Date

07/31/2023

City

WALLINGFORD

State

Zip

06492

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/30/2023