COREY MARCELL WARNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103245

License Status

NOT RENEWED

Business

First Name

COREY

Middle

MARCELL

Last Name

WARNER

Suffix

Business Name

COREY MARCELL WARNER MD

Original Issue Date

08/10/2000

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

11/29/2011

Case Number

2011006003

Action

Suspension

Discipline Start Date

09/30/2011

Discipline End Date

11/28/2011

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/29/2011.