MARC ANTOINE A JOSEPH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MARC ANTOINE A

Last Name

JOSEPH

Business Name

MARC ANTOINE A JOSEPH

Original Issue Date

03/01/1995

Effective Date

03/01/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006