JOSHUA R AUGUSTIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060223

License Status

CANCELLED

Business

Title

First Name

JOSHUA

Middle

Last Name

AUGUSTIN

Business Name

JOSHUA R AUGUSTIN DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/05/2011