ROBERT A CORISH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103675

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

CORISH

Suffix

Business Name

ROBERT A CORISH MD

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

07/31/2002

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006