SAMUEL PAYTE PEJO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045319

License Status

NOT RENEWED

Business

First Name

SAMUEL PAYTE

Last Name

PEJO

Suffix

Business Name

SAMUEL PAYTE PEJO MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1987

City

BINGHAMTON

State

Zip

13903

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006