DWIGHT R CORDERO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021083

License Status

EXPIRED

Business

First Name

DWIGHT

Middle

Last Name

CORDERO

Business Name

DWIGHT R CORDERO

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006