SAMANTHA RENEE PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078592

License Status

CANCELLED

Business

Title

First Name

SAMANTHA

Middle

RENEE

Last Name

PHILLIPS

Business Name

SAMANTHA RENEE PHILLIPS MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

07/14/2025