KEVIN B BOCKHOLD - Medical Doctor License in Illinois | # 125056118

KEVIN B BOCKHOLD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056118

License Status

EXPIRED

Business

N

First Name

KEVIN

Middle

B

Last Name

BOCKHOLD

Business Name

KEVIN B BOCKHOLD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

08/29/2012