SAMUEL OSAMU MAYEDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049962

License Status

NOT RENEWED

Business

First Name

SAMUEL OSAMU

Last Name

MAYEDA

Suffix

Business Name

SAMUEL OSAMU MAYEDA MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006