JOSEPHINE CO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038275

License Status

EXPIRED

Business

First Name

JOSEPHINE

Last Name

Suffix

Business Name

JOSEPHINE CO MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006