DEIRDRE KNOBELOCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

DEIRDRE

Last Name

KNOBELOCH

Business Name

DEIRDRE KNOBELOCH DO

Original Issue Date

08/05/2019

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

AVISTON

State

Zip

62216

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023