PUSHPA A JOSEPH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014406

License Status

EXPIRED

Business

First Name

PUSHPA A

Last Name

JOSEPH

Suffix

Business Name

PUSHPA A JOSEPH MD

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

07/01/1984

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006