SAMANTHA B CONRAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

Last Name

CONRAD

Business Name

SAMANTHA B CONRAD MD

Original Issue Date

10/24/2002

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023