WILFREDO CORREDERA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

WILFREDO

Last Name

CORREDERA

Business Name

WILFREDO CORREDERA

Original Issue Date

08/12/1991

Effective Date

08/12/1991

Expiration Date

07/31/1993

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011