KYLE JAMES BOCKELMAN DO - Medical Doctor License in Illinois | # 130001371

KYLE JAMES BOCKELMAN DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001371

License Status

EXPIRED

Business

N

Title

DO

First Name

KYLE

Middle

JAMES

Last Name

BOCKELMAN

Business Name

KYLE JAMES BOCKELMAN DO

Original Issue Date

09/28/2020

Effective Date

09/28/2020

Expiration Date

01/27/2021

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

03/11/2021