SAMUEL T CONNOLLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172124

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

Last Name

CONNOLLY

Business Name

SAMUEL T CONNOLLY MD

Original Issue Date

09/25/2024

Effective Date

09/25/2024

Expiration Date

07/31/2026

City

PROVIDENCE

State

Zip

02912

Ever Disciplined

LastModifiedDate

09/18/2025