JAVIER G CORREA III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023432

License Status

EXPIRED

Business

First Name

JAVIER

Middle

Last Name

CORREA

Suffix

III MD

Business Name

JAVIER G CORREA III MD

Original Issue Date

04/27/1989

Effective Date

04/27/1989

Expiration Date

07/01/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006