JOEY EDWARD MALONJAO ROQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JOEY EDWARD

Middle

MALONJAO

Last Name

ROQUE

Suffix

Business Name

JOEY EDWARD MALONJAO ROQUE MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008