DENNIS MICHAEL CORCORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

DENNIS MICHAEL

Last Name

CORCORAN

Suffix

Business Name

DENNIS MICHAEL CORCORAN MD

Original Issue Date

01/01/1997

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020