W THEODORE COREY MD - Medical Doctor License in Pennsylvania | # 036069448

W THEODORE COREY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069448

License Status

NOT RENEWED

Business

N

First Name

W THEODORE

Last Name

COREY

Suffix

MD

Business Name

W THEODORE COREY MD

Original Issue Date

09/18/1984

Effective Date

06/30/2011

Expiration Date

07/31/2014

State

PA

Ever Disciplined

N

LastModifiedDate

11/17/2014