KENDRA IVANA SAMAR SY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

KENDRA IVANA

Middle

SAMAR

Last Name

Business Name

KENDRA IVANA SAMAR SY DO

Original Issue Date

01/09/2025

Effective Date

01/09/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2025