JEFFERY JOSEPH DOROCIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

JEFFERY

Middle

JOSEPH

Last Name

DOROCIAK

Business Name

JEFFERY JOSEPH DOROCIAK MD

Original Issue Date

03/10/2020

Effective Date

03/10/2020

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021