SAMUEL PARRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079844

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

PARRA

Suffix

Business Name

SAMUEL PARRA MD

Original Issue Date

04/11/1990

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021