SAMANTHA JANE DIAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140151

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

JANE

Last Name

DIAL

Business Name

SAMANTHA JANE DIAL MD

Original Issue Date

03/25/2016

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42003

Ever Disciplined

LastModifiedDate

07/21/2023