SAMANTHA IKEDA ING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001459

License Status

EXPIRED

Business

Title

First Name

SAMANTHA

Middle

IKEDA

Last Name

ING

Business Name

SAMANTHA IKEDA ING MD

Original Issue Date

05/31/2022

Effective Date

05/31/2022

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

10/11/2022