IRENE M SAMSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047739

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

Last Name

SAMSON

Suffix

Business Name

IRENE M SAMSON

Original Issue Date

08/17/1973

Effective Date

08/17/1973

Expiration Date

07/31/2005

City

KALAMAZOO

State

Zip

49007

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006