GREGORY A BABCOCK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

BABCOCK

Business Name

GREGORY A BABCOCK

Original Issue Date

06/10/2004

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023