SAMANTHA MARIE MUTAI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083410

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

MARIE

Last Name

MUTAI

Business Name

SAMANTHA MARIE MUTAI DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/28/2024