SAMUEL ALAN AMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117345

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

ALAN

Last Name

AMEN

Suffix

Business Name

SAMUEL ALAN AMEN MD

Original Issue Date

12/18/2006

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

CAVE CREEK

State

Zip

85331

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/17/2014