ELIZABETH GAGE BOCKEWITZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

GAGE

Last Name

BOCKEWITZ

Suffix

Business Name

ELIZABETH GAGE BOCKEWITZ MD

Original Issue Date

05/04/2010

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023