DWAYNE PATRICK CORCORAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

DWAYNE

Middle

PATRICK

Last Name

CORCORAN

Business Name

DWAYNE PATRICK CORCORAN MD

Original Issue Date

06/14/2018

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

LONG BEACH

State

Zip

90808

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023