KEVIN B SHROCK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021293

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

SHROCK

Business Name

KEVIN B SHROCK

Original Issue Date

06/12/1987

Effective Date

06/12/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006