SAMUEL ISAAC FROST DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147654

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

ISAAC

Last Name

FROST

Business Name

SAMUEL ISAAC FROST DO

Original Issue Date

10/26/2018

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEWAUKEE

State

Zip

53072

Ever Disciplined

LastModifiedDate

04/07/2023