FREDDY A ESCORCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

FREDDY A

Last Name

ESCORCIA

Suffix

Business Name

FREDDY A ESCORCIA MD

Original Issue Date

02/20/1996

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023