BROCK ALLEN FRANKLIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

BROCK

Middle

ALLEN

Last Name

FRANKLIN

Business Name

BROCK ALLEN FRANKLIN

Original Issue Date

04/09/2009

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023