JOEY EDWARD MALONJAO ROQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109619

License Status

NOT RENEWED

Business

First Name

JOEY EDWARD

Middle

MALONJAO

Last Name

ROQUE

Suffix

Business Name

JOEY EDWARD MALONJAO ROQUE MD

Original Issue Date

07/01/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/25/2018