JAMES E BROCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

JAMES E

Last Name

BROCK

Suffix

Business Name

JAMES E BROCK MD

Original Issue Date

08/26/1993

Effective Date

08/26/1993

Expiration Date

07/31/2002

City

GALENA

State

Zip

61036

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006