CORAZON C MEDINA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021735

License Status

EXPIRED

Business

First Name

CORAZON C

Last Name

MEDINA

Suffix

Business Name

CORAZON C MEDINA MD

Original Issue Date

09/17/1987

Effective Date

09/17/1987

Expiration Date

07/01/1990

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006