SAMUEL SALEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122596

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

SALEN

Suffix

Business Name

SAMUEL SALEN MD

Original Issue Date

02/10/2009

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

UPLAND

State

Zip

91784

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/30/2023