SAMMY L PAGE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092195

License Status

INACTIVE

Business

First Name

SAMMY

Middle

Last Name

PAGE

Business Name

SAMMY L PAGE

Original Issue Date

11/29/1995

Effective Date

11/29/1995

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006