JESSICA LEVELY CORCORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

LEVELY

Last Name

CORCORAN

Business Name

JESSICA LEVELY CORCORAN MD

Original Issue Date

07/08/2015

Effective Date

07/25/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021