KEVIN B BOCKHOLD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

BOCKHOLD

Business Name

KEVIN B BOCKHOLD

Original Issue Date

08/20/2012

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023