ELIZABETH GAGE BOCKEWITZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051386

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

GAGE

Last Name

BOCKEWITZ

Suffix

Business Name

ELIZABETH GAGE BOCKEWITZ MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009