SAMANTHA ASHLEY AGAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075143

License Status

CANCELLED

Business

Title

First Name

SAMANTHA

Middle

ASHLEY

Last Name

AGAR

Business Name

SAMANTHA ASHLEY AGAR MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/20/2019