RUSSELL P NOCKELS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017333

License Status

EXPIRED

Business

First Name

RUSSELL

Middle

Last Name

NOCKELS

Suffix

Business Name

RUSSELL P NOCKELS MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/01/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006