SAMANTHA ALYSE SHLAKMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166202

License Status

ACTIVE

Business

Title

First Name

SAMANTHA

Middle

ALYSE

Last Name

SHLAKMAN

Business Name

SAMANTHA ALYSE SHLAKMAN MD

Original Issue Date

07/28/2023

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

FAIRFAX STATION

State

Zip

22039

Ever Disciplined

LastModifiedDate

07/28/2023