JOSEPH S RAYBURN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000624

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

Last Name

RAYBURN

Business Name

JOSEPH S RAYBURN

Original Issue Date

01/10/2005

Effective Date

01/10/2005

Expiration Date

02/09/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006