JOLLY C JOSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098763

License Status

INACTIVE

Business

First Name

JOLLY

Middle

Last Name

JOSE

Suffix

Business Name

JOLLY C JOSE MD

Original Issue Date

08/17/1998

Effective Date

08/17/1998

Expiration Date

07/31/2002

City

BRANDON

State

Zip

33511

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006