BRANDON MICHAEL BOCKEWITZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

BRANDON

Middle

MICHAEL

Last Name

BOCKEWITZ

Suffix

Business Name

BRANDON MICHAEL BOCKEWITZ MD

Original Issue Date

07/25/2008

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023