ELIZABETH S BOCKHOLD MD - Medical Doctor License in Illinois | # 125054533

ELIZABETH S BOCKHOLD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054533

License Status

EXPIRED

Business

N

Title

MD

First Name

ELIZABETH

Middle

S

Last Name

BOCKHOLD

Business Name

ELIZABETH S BOCKHOLD MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2011

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

07/19/2011