CHASE STEPHEN CORREIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061089

License Status

CANCELLED

Business

Title

First Name

CHASE

Middle

STEPHEN

Last Name

CORREIA

Business Name

CHASE STEPHEN CORREIA MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014