ERIC D BULLOCK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104034

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

BULLOCK

Business Name

ERIC D BULLOCK

Original Issue Date

01/16/2001

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

07/29/2023