DAVID A SISAM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065991

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

SISAM

Suffix

Business Name

DAVID A SISAM DO

Original Issue Date

01/21/1983

Effective Date

01/21/1983

Expiration Date

07/31/1984

City

DES MOINES

State

Zip

50311

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006