JACOB DAVID SAMS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054041

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

DAVID

Last Name

SAMS

Business Name

JACOB DAVID SAMS MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2013

City

MT ZION

State

Zip

62549

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/01/2011