EDGAR A SAMANIEGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137420

License Status

NOT RENEWED

Business

Title

First Name

EDGAR

Middle

Last Name

SAMANIEGO

Business Name

EDGAR A SAMANIEGO MD

Original Issue Date

02/25/2015

Effective Date

02/25/2015

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017