JODI L HOLBROOK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

JODI L

Last Name

HOLBROOK

Suffix

Business Name

JODI L HOLBROOK MD

Original Issue Date

09/17/1992

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023