SAMANTHA DANIELLE MINC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127320

License Status

NOT RENEWED

Business

Title

First Name

SAMANTHA

Middle

DANIELLE

Last Name

MINC

Business Name

SAMANTHA DANIELLE MINC MD

Original Issue Date

03/11/2011

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

MORGANTOWN

State

Zip

26506

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023