SAMUEL OLIVER POORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158096

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

OLIVER

Last Name

POORE

Business Name

SAMUEL OLIVER POORE MD

Original Issue Date

08/22/2021

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53704

Ever Disciplined

LastModifiedDate

06/15/2023