KENNETH ABRAHAM JOSEPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

ABRAHAM

Last Name

JOSEPH

Business Name

KENNETH ABRAHAM JOSEPH MD

Original Issue Date

08/01/2023

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023