GREGORY N TJOSSEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

GREGORY N

Last Name

TJOSSEM

Suffix

Business Name

GREGORY N TJOSSEM MD

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

07/31/1993

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006