AMY PIUS JOSEPH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072857

License Status

CANCELLED

Business

Title

First Name

AMY

Middle

PIUS

Last Name

JOSEPH

Business Name

AMY PIUS JOSEPH MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/16/2018