PATRICIA CHARLENE L BROCK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039873

License Status

EXPIRED

Business

First Name

PATRICIA

Middle

CHARLENE L

Last Name

BROCK

Suffix

Business Name

PATRICIA CHARLENE L BROCK DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006