SAMUEL HOLLINGSWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064575

License Status

NOT RENEWED

Business

First Name

SAMUEL

Last Name

HOLLINGSWORTH

Suffix

Business Name

SAMUEL HOLLINGSWORTH MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/1990

City

INDIANAPOLIS

State

Zip

46208

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006