STEPHANIE JOAN SAMUELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

STEPHANIE JOAN

Last Name

SAMUELS

Suffix

Business Name

STEPHANIE JOAN SAMUELS MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1984

City

DAVENPORT

State

Zip

52807

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006