MAX MICHELSON BROCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149229

License Status

ACTIVE

Business

Title

First Name

MAX

Middle

MICHELSON

Last Name

BROCK

Business Name

MAX MICHELSON BROCK MD

Original Issue Date

04/26/2019

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2023