STEPHANIE JOAN SAMUELS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063534

License Status

INACTIVE

Business

First Name

STEPHANIE JOAN

Last Name

SAMUELS

Suffix

Business Name

STEPHANIE JOAN SAMUELS MD

Original Issue Date

11/13/1981

Effective Date

11/13/1981

Expiration Date

07/31/1984

City

PISCATAWAY

State

Zip

08854

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006