CHENELLE MAHALIA CHRYSTAL JOSEPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140574

License Status

ACTIVE

Business

First Name

CHENELLE MAHALIA

Middle

CHRYSTAL

Last Name

JOSEPH

Suffix

Business Name

CHENELLE MAHALIA CHRYSTAL JOSEPH MD

Original Issue Date

05/04/2016

Effective Date

10/06/2023

Expiration Date

07/31/2026

City

GRAND FORKS

State

Zip

58201

Ever Disciplined

LastModifiedDate

09/27/2023