LUIS R DE CORRAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017620

License Status

EXPIRED

Business

First Name

LUIS

Middle

Last Name

DE CORRAL

Business Name

LUIS R DE CORRAL

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006