MICHAEL E MOCKOVAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022260

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

MOCKOVAK

Suffix

Business Name

MICHAEL E MOCKOVAK MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

04/11/2013

Case Number

2013001570

Action

Revocation

Discipline Start Date

04/08/2013

Discipline Reason

because he was convicted of a forcible felony, as defined in 68 Ill. Admin. Code 1130.120.