SAMANTHA JAIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Last Name

JAIN

Business Name

SAMANTHA JAIN MD

Original Issue Date

07/25/2020

Effective Date

09/26/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2023