SAMANTHA GOLDEN STOLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117027

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

GOLDEN

Last Name

STOLER

Suffix

Business Name

SAMANTHA GOLDEN STOLER MD

Original Issue Date

10/06/2006

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014