ERIC MATTHEW STOCKWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

MATTHEW

Last Name

STOCKWELL

Business Name

ERIC MATTHEW STOCKWELL MD

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2024