STANLEY P KOKOCKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

Last Name

KOKOCKI

Suffix

Business Name

STANLEY P KOKOCKI MD

Original Issue Date

04/17/2007

Effective Date

03/12/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020