BROCK WILLIAM PEIFFER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153993

License Status

ACTIVE

Business

Title

First Name

BROCK

Middle

WILLIAM

Last Name

PEIFFER

Business Name

BROCK WILLIAM PEIFFER DO

Original Issue Date

08/11/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023