SAMANTHA FAYE JENKINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073034

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

FAYE

Last Name

JENKINS

Business Name

SAMANTHA FAYE JENKINS MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2019

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/02/2019