AMEHA T JOBA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

AMEHA

Middle

Last Name

JOBA

Business Name

AMEHA T JOBA

Original Issue Date

07/26/2011

Effective Date

04/19/2017

Expiration Date

01/31/2019

City

ROHNERT PARK

State

Zip

94928

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019