KURT A MADDOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

KURT

Middle

Last Name

MADDOCK

Business Name

KURT A MADDOCK MD

Original Issue Date

11/15/2017

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

MONROE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023