SAMUEL ALAN AMEN MD - Medical Doctor License in Arizona | # 036117345

SAMUEL ALAN AMEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117345

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

ALAN

Last Name

AMEN

Suffix

MD

Business Name

SAMUEL ALAN AMEN MD

Original Issue Date

12/18/2006

Effective Date

06/24/2011

Expiration Date

07/31/2014

State

AZ

Ever Disciplined

N

LastModifiedDate

11/17/2014