KENNETH ABRAHAM JOSEPH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077171

License Status

CANCELLED

Business

Title

First Name

KENNETH

Middle

ABRAHAM

Last Name

JOSEPH

Business Name

KENNETH ABRAHAM JOSEPH MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2020