JUSTIN B JOSEPHSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

Last Name

JOSEPHSEN

Business Name

JUSTIN B JOSEPHSEN MD

Original Issue Date

09/22/2011

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BREESE

State

Zip

62230

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023