MOAZAM JAH SAMDANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047082

License Status

NOT RENEWED

Business

First Name

MOAZAM JAH

Last Name

SAMDANI

Suffix

Business Name

MOAZAM JAH SAMDANI MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

WATERTOWN

State

Zip

53094

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006