DANIEL CORREA DE SA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132780

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Last Name

CORREA DE SA

Business Name

DANIEL CORREA DE SA MD

Original Issue Date

05/08/2013

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/01/2017