BROCK DEANGELO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176335

License Status

ACTIVE

Business

Title

First Name

BROCK

Last Name

DEANGELO

Business Name

BROCK DEANGELO DO

Original Issue Date

07/29/2025

Effective Date

07/29/2025

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

ADAMS

Ever Disciplined

LastModifiedDate

07/29/2025