SAMANTHA CECILE HATHAWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

CECILE

Last Name

HATHAWAY

Business Name

SAMANTHA CECILE HATHAWAY MD

Original Issue Date

06/16/2016

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023