SAM ALLAHYAR SAMIMI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

SAM ALLAHYAR

Last Name

SAMIMI

Business Name

SAM ALLAHYAR SAMIMI

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006