RICHARD HAMMOND COCKRUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

HAMMOND

Last Name

COCKRUM

Business Name

RICHARD HAMMOND COCKRUM MD

Original Issue Date

11/20/2017

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023