Wisconsin Credential Lookup

Credential Summary - Details

Credential Summary for 72096-20
Name: immanuel, josepha A
Credential Type: MEDICINE AND SURGERY (20)
Credential Number: 72096-20
Location: HOUSTON, TX
License Type: regular
Status License is current (Active)
Eligible To Practice: credential license is current
First Fee Received: YES

DetailsRequirementsPaymentsOrdersRelationships
Details
License current through: 10/31/2025
Granted date: 10/17/2019
Multi-state: N
Orders: NONE
Specialties:
PSYCHIATRY
Other Names:
Josepha P Immanuel


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