RICHARD HAMMOND COCKRUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067080

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

HAMMOND

Last Name

COCKRUM

Business Name

RICHARD HAMMOND COCKRUM MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/01/2015