JOSEPH WILLIAM DOE IV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047239

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

WILLIAM

Last Name

DOE

Suffix

IV MD

Business Name

JOSEPH WILLIAM DOE IV MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/03/2007