JOSEPHINE CO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105466

License Status

INACTIVE

Business

First Name

JOSEPHINE

Last Name

Suffix

Business Name

JOSEPHINE CO MD

Original Issue Date

08/23/2001

Effective Date

08/23/2001

Expiration Date

07/31/2005

City

LITTLE ROCK

State

Zip

72223

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/09/2006