KATRINA R SAMUELS HUGHES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

KATRINA

Middle

R SAMUELS

Last Name

HUGHES

Business Name

KATRINA R SAMUELS HUGHES MD

Original Issue Date

09/09/2009

Effective Date

09/09/2009

Expiration Date

07/31/2011

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011