BHAVANI L COCA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043422

License Status

EXPIRED

Business

First Name

BHAVANI

Middle

Last Name

COCA

Business Name

BHAVANI L COCA

Original Issue Date

09/01/2001

Effective Date

09/01/2001

Expiration Date

08/31/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006