SAMUEL MICHAEL THEAGENE
Medical Physician And Surgeon
Pennsylvania MD050961L Expired
This Pennsylvania license was held by SAMUEL MICHAEL THEAGENE. The license is no longer active. It was granted on 09/14/1993 and expired on 12/31/1996
LICENSE DETAILS
- License Number: MD050961L
- Category: Medical Physician and Surgeon
- Status: Expired
- Date Granted: 09/14/1993 (over 30 years ago)
- Expiry Date: 12/31/1996 (over 27 years ago)
LOCATIONS
A Address
SAN ANTONIO TX 78230