PURCHIT V LACUESTA-CORRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034871

License Status

EXPIRED

Business

First Name

PURCHIT

Middle

Last Name

LACUESTA-CORRY

Suffix

Business Name

PURCHIT V LACUESTA-CORRY MD

Original Issue Date

06/05/1996

Effective Date

06/05/1996

Expiration Date

06/20/1999

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006