MICHAEL E MOCKOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MOCKOVAK

Suffix

Business Name

MICHAEL E MOCKOVAK MD

Original Issue Date

09/16/1992

Effective Date

09/16/1992

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2013

Case Number

2013001570

Action

Revocation

Discipline Start Date

04/08/2013

Discipline Reason

because he was convicted of a forcible felony, as defined in 68 Ill. Admin. Code 1130.120.