KENNETH JOHN KORCEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

KENNETH

Middle

JOHN

Last Name

KORCEK

Suffix

Business Name

KENNETH JOHN KORCEK MD

Original Issue Date

09/23/2004

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023