SAMUEL PORIZA AU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117479

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

PORIZA

Last Name

Suffix

Business Name

SAMUEL PORIZA AU MD

Original Issue Date

01/19/2007

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62769

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021