SAMIR C JETHWA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135226

License Status

NOT RENEWED

Business

Title

First Name

SAMIR

Middle

Last Name

JETHWA

Business Name

SAMIR C JETHWA DO

Original Issue Date

05/01/2014

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

LEWISBERRY

State

Zip

17339

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/01/2017