NICHOLAS CORCORAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077534

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Last Name

CORCORAN

Business Name

NICHOLAS CORCORAN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022