JOSEPH P DUSSEAU Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107536

License Status

INACTIVE

Business

First Name

JOSEPH

Middle

Last Name

DUSSEAU

Business Name

JOSEPH P DUSSEAU

Original Issue Date

07/25/2002

Effective Date

07/25/2002

Expiration Date

07/31/2005

City

GAHANNA

State

Zip

43230

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006