DEBORAH WAGNER POCKROSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

DEBORAH

Middle

WAGNER

Last Name

POCKROSS

Suffix

Business Name

DEBORAH WAGNER POCKROSS MD

Original Issue Date

08/06/2004

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023