CANDACE REBECCA CORREA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

CANDACE

Middle

REBECCA

Last Name

CORREA

Business Name

CANDACE REBECCA CORREA MD

Original Issue Date

08/22/2011

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023