JOSHUA DAVID KOROSAC DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

DAVID

Last Name

KOROSAC

Business Name

JOSHUA DAVID KOROSAC DO

Original Issue Date

08/29/2012

Effective Date

08/29/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014