CORY T MIYAMOTO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107560

License Status

NOT RENEWED

Business

First Name

CORY

Middle

Last Name

MIYAMOTO

Business Name

CORY T MIYAMOTO

Original Issue Date

07/30/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008