MICHAEL J CORCORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

CORCORAN

Suffix

Business Name

MICHAEL J CORCORAN MD

Original Issue Date

05/20/1999

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020