EMILY ALEXANDRA STORCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

EMILY

Middle

ALEXANDRA

Last Name

STORCK

Business Name

EMILY ALEXANDRA STORCK DO

Original Issue Date

09/01/2023

Effective Date

09/01/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2023