MICHELLE DOMINGO CORRALES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118256

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DOMINGO

Last Name

CORRALES

Suffix

Business Name

MICHELLE DOMINGO CORRALES MD

Original Issue Date

04/25/2007

Effective Date

04/25/2007

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/06/2008