KENDRA IVANA SAMAR SY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080372

License Status

CANCELLED

Business

Title

First Name

KENDRA IVANA

Middle

SAMAR

Last Name

Business Name

KENDRA IVANA SAMAR SY DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

12/31/2024