SAMUEL D QUAYNOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

Last Name

QUAYNOR

Business Name

SAMUEL D QUAYNOR MD

Original Issue Date

04/29/2020

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023