RANDALL CORREIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021511

License Status

EXPIRED

Business

First Name

RANDALL

Last Name

CORREIA

Suffix

Business Name

RANDALL CORREIA MD

Original Issue Date

07/06/1987

Effective Date

07/06/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006