JEREMY L KROCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

JEREMY L

Last Name

KROCK

Suffix

Business Name

JEREMY L KROCK DO

Original Issue Date

04/21/1997

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023