SAMUEL CRANDALL THOMAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164956

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

CRANDALL

Last Name

THOMAS

Business Name

SAMUEL CRANDALL THOMAS MD

Original Issue Date

06/02/2023

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

SALT LAKE CITY

State

Zip

84109

Ever Disciplined

LastModifiedDate

06/02/2023