ANOKHI DALIA BOCK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DMD

First Name

ANOKHI

Middle

DALIA

Last Name

BOCK

Business Name

ANOKHI DALIA BOCK DMD

Original Issue Date

09/20/2005

Effective Date

07/03/2012

Expiration Date

09/30/2015

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016