DIORELLA CORPUZ GULOY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056938

License Status

CANCELLED

Business

Title

First Name

DIORELLA

Middle

CORPUZ

Last Name

GULOY

Business Name

DIORELLA CORPUZ GULOY DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BERYWN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/02/2009