JOSEPH EAPEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JOSEPH

Last Name

EAPEN

Suffix

Business Name

JOSEPH EAPEN MD

Original Issue Date

03/25/2004

Effective Date

03/25/2004

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008