SAMANTHA LEE HEYWOOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

LEE

Last Name

HEYWOOD

Business Name

SAMANTHA LEE HEYWOOD MD

Original Issue Date

07/26/2022

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023