SAMANTHA VANDERSLICE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Last Name

VANDERSLICE

Business Name

SAMANTHA VANDERSLICE MD

Original Issue Date

08/28/2025

Effective Date

08/28/2025

Expiration Date

07/31/2026

City

CAMBRIDGE

State

Zip

02138

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2025