BRIAN PATRICK WALCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

PATRICK

Last Name

WALCOTT

Business Name

BRIAN PATRICK WALCOTT MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021