JOSEPH DEROSA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088434

License Status

NOT RENEWED

Business

First Name

JOSEPH

Last Name

DEROSA

Suffix

Business Name

JOSEPH DEROSA MD

Original Issue Date

05/19/1994

Effective Date

05/19/1994

Expiration Date

07/31/2005

City

WESTFIELD

State

Zip

07090

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/09/2006