JESSICA LEVELY CORCORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138606

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

FERNDALE

State

Zip

48220

County

WAYNE

Ever Disciplined

LastModifiedDate

01/14/2021