KEVIN AUGUSTINE JOSEPH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063077

License Status

CANCELLED

Business

First Name

KEVIN

Middle

AUGUSTINE

Last Name

JOSEPH

Suffix

Business Name

KEVIN AUGUSTINE JOSEPH MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

PALOS HEIGHTS

State

Zip

60463

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014