MICHAEL DAVID CORCORAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005546

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DAVID

Last Name

CORCORAN

Business Name

MICHAEL DAVID CORCORAN

Original Issue Date

08/17/2012

Effective Date

01/08/2025

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/26/2025