ABIGAIL MACIOLEK COCHRAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

ABIGAIL

Middle

MACIOLEK

Last Name

COCHRAN

Business Name

ABIGAIL MACIOLEK COCHRAN MD

Original Issue Date

06/09/2017

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023