SAM O SUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083950

License Status

NOT RENEWED

Business

First Name

SAM O

Last Name

SUE

Suffix

Business Name

SAM O SUE MD

Original Issue Date

02/03/1992

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MORRISTOWN

State

Zip

07960

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/06/2008