SAMUEL MARK SHOR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151227

License Status

INACTIVE

Business

Title

First Name

SAMUEL

Middle

MARK

Last Name

SHOR

Business Name

SAMUEL MARK SHOR MD

Original Issue Date

11/18/2019

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

RESTON

State

Zip

20190

Ever Disciplined

LastModifiedDate

12/31/2024