SAMANTHA M MUCHA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107799

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MUCHA

Business Name

SAMANTHA M MUCHA

Original Issue Date

09/09/2002

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

YPSILANTI

State

Zip

48197

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014