CARLOS T MOCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063296

License Status

INACTIVE

Business

First Name

CARLOS T

Last Name

MOCK

Suffix

Business Name

CARLOS T MOCK MD

Original Issue Date

09/24/1981

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

04/24/2008