KEVIN B BOCKHOLD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056118

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

BOCKHOLD

Business Name

KEVIN B BOCKHOLD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

08/29/2012