MARC DANIEL CARRIGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129472

License Status

INACTIVE

Business

Title

First Name

MARC

Middle

DANIEL

Last Name

CARRIGAN

Business Name

MARC DANIEL CARRIGAN MD

Original Issue Date

01/17/2012

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

04/05/2020