MICHAEL DAVID CORCORAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025