CARMEN JAMES CORRALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

CARMEN

Middle

JAMES

Last Name

CORRALL

Business Name

CARMEN JAMES CORRALL MD

Original Issue Date

01/26/1996

Effective Date

01/26/1996

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006