SAMUEL FISK DESTEFANO M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176812

License Status

ACTIVE

Business

Title

M.D.

First Name

SAMUEL

Middle

FISK

Last Name

DESTEFANO

Business Name

SAMUEL FISK DESTEFANO M.D.

Original Issue Date

08/26/2025

Effective Date

08/26/2025

Expiration Date

07/31/2026

City

GREENWOOD VILLAGE

State

Zip

80111

Ever Disciplined

LastModifiedDate

08/26/2025