MARC DANIEL CARRIGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

DANIEL

Last Name

CARRIGAN

Business Name

MARC DANIEL CARRIGAN MD

Original Issue Date

01/17/2012

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021