JOSHUA DAVID EVANS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056062

License Status

CANCELLED

Business

Title

First Name

JOSHUA

Middle

DAVID

Last Name

EVANS

Business Name

JOSHUA DAVID EVANS MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2009