SAMANTHA JOSEPHINE MOSBY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

JOSEPHINE

Last Name

MOSBY

Business Name

SAMANTHA JOSEPHINE MOSBY DO

Original Issue Date

09/10/2022

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

HEROD

State

Zip

62947

County

POPE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023