SAM PITTMON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055277

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

PITTMON

Suffix

Business Name

SAM PITTMON MD

Original Issue Date

08/11/1977

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

PAGOSA SPRINGS

State

Zip

81147

County

COLORADO

Ever Disciplined

LastModifiedDate

11/01/2017