CHAD MICHAEL CONKLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

CHAD

Middle

MICHAEL

Last Name

CONKLIN

Suffix

Business Name

CHAD MICHAEL CONKLIN MD

Original Issue Date

04/14/1999

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023