SAM JOSEPH BRANCATO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053398

License Status

CANCELLED

Business

Title

First Name

SAM

Middle

JOSEPH

Last Name

BRANCATO

Business Name

SAM JOSEPH BRANCATO MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

LOS ANGELES

State

Zip

90049

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

06/27/2011