JEFFREY JAY CORWIN 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

First Name

JEFFREY JAY

Last Name

CORWIN

Suffix

Business Name

JEFFREY JAY CORWIN MD

Original Issue Date

08/19/1993

Effective Date

08/19/1993

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020