SAMANTHA GOLDEN STOLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

GOLDEN

Last Name

STOLER

Suffix

Business Name

SAMANTHA GOLDEN STOLER MD

Original Issue Date

12/06/2006

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014