Samuel Lynn Southam
ExpiredCalifornia license A112296
License
- Licensed by
- Medical Board of California
- License number
- A112296
- Status
- Expired (Delinquent)
- First issued
- May 5, 2010
- Expired
- August 31, 2025
- License holder
- Samuel Lynn Southam
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
1034 N 500 W
Provo, UT 84604-3380
Provo, UT 84604-3380
Utah County