JOE V YOHANNAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062408

License Status

CANCELLED

Business

Title

First Name

JOE

Middle

Last Name

YOHANNAN

Business Name

JOE V YOHANNAN MD

Original Issue Date

07/06/2012

Effective Date

07/06/2012

Expiration Date

07/05/2015

City

CARBONDALE

State

Zip

62901

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014