PETER A KLOCK JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088812

License Status

ACTIVE

Business

First Name

PETER A

Last Name

KLOCK JR

Suffix

Business Name

PETER A KLOCK JR MD

Original Issue Date

07/02/1994

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

03/13/2024