W THEODORE COREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069448

License Status

NOT RENEWED

Business

First Name

W THEODORE

Last Name

COREY

Suffix

Business Name

W THEODORE COREY MD

Original Issue Date

09/18/1984

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

JOHNSTOWN

State

Zip

15905

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/17/2014