SAMANTHA MINH THU TRAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075994

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

MINH THU

Last Name

TRAN

Business Name

SAMANTHA MINH THU TRAN MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/30/2024