SAM SHIESHA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077026

License Status

INACTIVE

Business

First Name

SAM

Last Name

SHIESHA

Business Name

SAM SHIESHA

Original Issue Date

05/24/1988

Effective Date

05/24/1988

Expiration Date

07/31/1990

City

NEWBURY PARK

State

Zip

91320

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006