SAMANTHA IKEDA ING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164102

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

IKEDA

Last Name

ING

Business Name

SAMANTHA IKEDA ING MD

Original Issue Date

03/24/2023

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

06/07/2023