CAROLYN M COREY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000347

License Status

EXPIRED

Business

First Name

CAROLYN

Middle

Last Name

COREY

Business Name

CAROLYN M COREY

Original Issue Date

10/07/1996

Effective Date

10/07/1996

Expiration Date

11/30/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006