CRISANTO SAMOY GUALBERTO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053119

License Status

INACTIVE

Business

First Name

CRISANTO

Middle

SAMOY

Last Name

GUALBERTO

Suffix

Business Name

CRISANTO SAMOY GUALBERTO MD

Original Issue Date

06/15/1976

Effective Date

06/15/1976

Expiration Date

07/31/1987

City

VANDALIA

State

Zip

63382

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1990003870

Action

Probation

Discipline Start Date

01/15/1992

Discipline Reason

Disciplined in Missouri.