FREDERICK BERNAB E CORPUZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031272

License Status

EXPIRED

Business

First Name

FREDERICK BERNAB

Middle

Last Name

CORPUZ

Business Name

FREDERICK BERNAB E CORPUZ

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/23/1997

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006