THEODORE H SCHOCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096167

License Status

ACTIVE

Business

First Name

THEODORE H

Last Name

SCHOCK

Suffix

Business Name

THEODORE H SCHOCK DO

Original Issue Date

07/29/1997

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/23/2023