M T JOSEPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

M T

Last Name

JOSEPH

Suffix

Business Name

M T JOSEPH MD

Original Issue Date

01/01/1997

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021