MICKEY TODD TROCKEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049163

License Status

EXPIRED

Business

First Name

MICKEY

Middle

TODD

Last Name

TROCKEL

Suffix

Business Name

MICKEY TODD TROCKEL MD

Original Issue Date

06/01/2005

Effective Date

06/01/2005

Expiration Date

05/30/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006