MARISSA BROCK MD - Medical Doctor License in Illinois | # 125086580

MARISSA BROCK MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086580

License Status

ACTIVE

Business

N

Title

MD

First Name

MARISSA

Last Name

BROCK

Business Name

MARISSA BROCK MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

State

IL

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

N

LastModifiedDate

06/11/2025