MARY E KROCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

KROCK

Suffix

Business Name

MARY E KROCK MD

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/31/1999

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006