STEFANI SAMPLES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158274

License Status

ACTIVE

Business

Title

First Name

STEFANI

Last Name

SAMPLES

Business Name

STEFANI SAMPLES MD

Original Issue Date

09/14/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

04/11/2023