ROBERT P LOCKWOOD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054406

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

LOCKWOOD

Business Name

ROBERT P LOCKWOOD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012