CARLOS A CORREIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

CARLOS A

Last Name

CORREIA

Business Name

CARLOS A CORREIA

Original Issue Date

11/16/1993

Effective Date

11/16/1993

Expiration Date

07/31/1996

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006