SAMANTHA ANNE SCORE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069332

License Status

CANCELLED

Business

Title

First Name

SAMANTHA

Middle

ANNE

Last Name

SCORE

Business Name

SAMANTHA ANNE SCORE DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/28/2019