JOHN DOMINIC CREDICO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061746

License Status

NOT RENEWED

Business

First Name

JOHN DOMINIC

Last Name

CREDICO JR

Suffix

Business Name

JOHN DOMINIC CREDICO JR MD

Original Issue Date

02/27/1981

Effective Date

02/27/1981

Expiration Date

07/31/1987

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/20/2006