EDWIN L CORPUZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032333

License Status

EXPIRED

Business

First Name

EDWIN

Middle

Last Name

CORPUZ

Business Name

EDWIN L CORPUZ

Original Issue Date

08/19/1994

Effective Date

08/19/1994

Expiration Date

08/16/1995

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006