CORLYNE SUE MULDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057159

License Status

CANCELLED

Business

Title

First Name

CORLYNE

Middle

SUE

Last Name

MULDER

Business Name

CORLYNE SUE MULDER MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2014

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/24/2014