MATTHEW KELLY BOKERMANN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054728

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

KELLY

Last Name

BOKERMANN

Business Name

MATTHEW KELLY BOKERMANN MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2009

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009