PETER AIAD SAMUEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060136

License Status

CANCELLED

Business

Title

First Name

PETER

Middle

AIAD

Last Name

SAMUEL

Business Name

PETER AIAD SAMUEL MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

TAMPA

State

Zip

33613

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014