WILFREDO CORREDERA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024145

License Status

EXPIRED

Business

First Name

WILFREDO

Last Name

CORREDERA

Business Name

WILFREDO CORREDERA

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

06/30/1992

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006