SAMANTHA ASHLEY WARD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

ASHLEY

Last Name

WARD

Business Name

SAMANTHA ASHLEY WARD DO

Original Issue Date

07/25/2024

Effective Date

07/25/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024