RANDALL CORREIA MD - Medical Doctor License in Illinois | # 125021511

RANDALL CORREIA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021511

License Status

EXPIRED

Business

N

First Name

RANDALL

Last Name

CORREIA

Suffix

MD

Business Name

RANDALL CORREIA MD

Original Issue Date

07/06/1987

Effective Date

07/06/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006