TARA FUNK CORCORAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159978

License Status

ACTIVE

Business

Title

First Name

TARA

Middle

FUNK

Last Name

CORCORAN

Business Name

TARA FUNK CORCORAN MD

Original Issue Date

03/28/2022

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2023