SAMANTHA L PACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132026

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

PACE

Suffix

Business Name

SAMANTHA L PACE MD

Original Issue Date

02/28/2013

Effective Date

02/28/2013

Expiration Date

07/31/2014

City

MINNEAPOLIS

State

Zip

55403

Ever Disciplined

LastModifiedDate

11/17/2014