CRYSTAL GRACE BOCKOVEN MD - Medical Doctor License in Illinois | # 125069585

CRYSTAL GRACE BOCKOVEN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069585

License Status

EXPIRED

Business

N

Title

MD

First Name

CRYSTAL

Middle

GRACE

Last Name

BOCKOVEN

Business Name

CRYSTAL GRACE BOCKOVEN MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

11/19/2020