JACK WILLIAM STOCKERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058302

License Status

EXPIRED

Business

Title

First Name

JACK

Middle

WILLIAM

Last Name

STOCKERT

Business Name

JACK WILLIAM STOCKERT MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011