JOSEPH PAUL SO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

JOSEPH

Middle

PAUL

Last Name

Business Name

JOSEPH PAUL SO MD

Original Issue Date

07/20/2011

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023