JOSHUA J AUGUSTINE - Medical Doctor License in Illinois | # 125035947

JOSHUA J AUGUSTINE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035947

License Status

EXPIRED

Business

N

First Name

JOSHUA

Middle

J

Last Name

AUGUSTINE

Business Name

JOSHUA J AUGUSTINE

Original Issue Date

05/12/1997

Effective Date

05/12/1997

Expiration Date

06/16/2000

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006