JO ELLEN HEAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060585

License Status

NOT RENEWED

Business

First Name

JO ELLEN

Last Name

HEAD

Business Name

JO ELLEN HEAD

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

07/31/1996

City

ALBUQUERQUE

State

Zip

87110

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006