SAMANTHA NICOLE CHAMPION MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157631

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

NICOLE

Last Name

CHAMPION

Business Name

SAMANTHA NICOLE CHAMPION MD

Original Issue Date

07/09/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

04/07/2023