License holder summary

SAMUEL, MAXEN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for SAMUEL, MAXEN, MD is 304 N BROOKSIDE AVE, FREEPORT 11520. This doctor license is not current. The license was granted 04/07/1982 and expired on 12/31/1987.

Georgia

Composite Medical Board

SAMUEL, MAXEN, MD
Medical - Physician
License number
023537
Date granted
04/07/1982
Date expires
12/31/1987
Class
Medical - Physician
Status
Lapsed
Address
304 N BROOKSIDE AVE
georgiadoctors.net
ID 38078641
LAST UPDATED 2024-04-05 22:16:22 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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