JOSEPH EAPEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110767

License Status

NOT RENEWED

Business

First Name

JOSEPH

Last Name

EAPEN

Suffix

Business Name

JOSEPH EAPEN MD

Original Issue Date

02/02/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/06/2008