SAMANTHA MICHELLE DAVIDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176543

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

MICHELLE

Last Name

DAVIDSON

Business Name

SAMANTHA MICHELLE DAVIDSON MD

Original Issue Date

08/12/2025

Effective Date

08/12/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Ever Disciplined

LastModifiedDate

08/12/2025