SAMANTHA LEIGH WILLIAMSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

SAMANTHA

Middle

LEIGH

Last Name

WILLIAMSON

Business Name

SAMANTHA LEIGH WILLIAMSON MD

Original Issue Date

04/30/2014

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/01/2017