BROCK WILLIAM PEIFFER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

BROCK

Middle

WILLIAM

Last Name

PEIFFER

Business Name

BROCK WILLIAM PEIFFER DO

Original Issue Date

11/18/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023