SAM SOHRAB MOSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159320

License Status

ACTIVE

Business

Title

First Name

SAM

Middle

SOHRAB

Last Name

MOSS

Business Name

SAM SOHRAB MOSS MD

Original Issue Date

01/31/2022

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40228

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/31/2023