JUSTIN B JOSEPHSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129003

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

Last Name

JOSEPHSEN

Business Name

JUSTIN B JOSEPHSEN MD

Original Issue Date

09/22/2011

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BREESE

State

Zip

62230

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/11/2023