SAMANTHA RENEE PENA CHAVEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

RENEE

Last Name

PENA CHAVEZ

Business Name

SAMANTHA RENEE PENA CHAVEZ MD

Original Issue Date

10/21/2016

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023