SUBHANKAR SAMAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171299

License Status

ACTIVE

Business

Title

First Name

SUBHANKAR

Last Name

SAMAL

Business Name

SUBHANKAR SAMAL MD

Original Issue Date

07/25/2024

Effective Date

07/25/2024

Expiration Date

07/31/2026

City

MILWAUKEE

State

Zip

53202

Ever Disciplined

LastModifiedDate

07/25/2024