AMRISH ROSHAN JOSEPH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047605

License Status

EXPIRED

Business

First Name

AMRISH

Middle

ROSHAN

Last Name

JOSEPH

Suffix

Business Name

AMRISH ROSHAN JOSEPH MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007