KURTIS DAVID CARLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169088

License Status

ACTIVE

Business

Title

First Name

KURTIS

Middle

DAVID

Last Name

CARLOCK

Business Name

KURTIS DAVID CARLOCK MD

Original Issue Date

03/04/2024

Effective Date

03/04/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025