CARLA ELAINE SAMSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062094

License Status

NOT RENEWED

Business

First Name

CARLA ELAINE

Last Name

SAMSON

Suffix

Business Name

CARLA ELAINE SAMSON MD

Original Issue Date

05/04/1981

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017