SUZANNE M BOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

BOCK

Suffix

Business Name

SUZANNE M BOCK MD

Original Issue Date

08/23/1995

Effective Date

08/23/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006