EDWIN L CORPUZ - Medical Doctor License in Illinois | # 125032333

EDWIN L CORPUZ

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032333

License Status

EXPIRED

Business

N

First Name

EDWIN

Middle

L

Last Name

CORPUZ

Business Name

EDWIN L CORPUZ

Original Issue Date

08/19/1994

Effective Date

08/19/1994

Expiration Date

08/16/1995

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006