MEENA MANUEL JOSEPH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069398

License Status

INACTIVE

Business

First Name

MEENA MANUEL

Last Name

JOSEPH

Business Name

MEENA MANUEL JOSEPH

Original Issue Date

08/24/1984

Effective Date

08/24/1984

Expiration Date

07/31/1993

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006