EMMANUELLA JOSEPH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

CANCELLED

Business

First Name

EMMANUELLA

Last Name

JOSEPH

Suffix

Business Name

EMMANUELLA JOSEPH MD

Original Issue Date

03/20/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2008