MODESON-SAMUEL BANEZ FERRER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169327

License Status

ACTIVE

Business

Title

First Name

MODESON-SAMUEL

Middle

BANEZ

Last Name

FERRER

Business Name

MODESON-SAMUEL BANEZ FERRER MD

Original Issue Date

03/15/2024

Effective Date

03/15/2024

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46219

County

MARION

Ever Disciplined

LastModifiedDate

03/15/2024