SAMANTHA WALLIS ELIZABETH KNIGHT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071023

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

WALLIS ELIZABETH

Last Name

KNIGHT

Business Name

SAMANTHA WALLIS ELIZABETH KNIGHT MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022