MIGUEL JOEL CORONA OLIVARES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

MIGUEL

Middle

JOEL

Last Name

CORONA OLIVARES

Suffix

Business Name

MIGUEL JOEL CORONA OLIVARES MD

Original Issue Date

07/29/2010

Effective Date

07/29/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011