SHOJI OLIVO SAMSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152483

License Status

ACTIVE

Business

Title

First Name

SHOJI

Middle

OLIVO

Last Name

SAMSON

Business Name

SHOJI OLIVO SAMSON DO

Original Issue Date

04/06/2020

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/17/2023