SAMANTHA NICHOLE LUNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074803

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

NICHOLE

Last Name

LUNA

Business Name

SAMANTHA NICHOLE LUNA MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2020

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020