ELIZABETH S BOCKHOLD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054533

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

Last Name

BOCKHOLD

Business Name

ELIZABETH S BOCKHOLD MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2011

City

HINSDALE

State

Zip

60521

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011