BERNARD JOSEPH MIZOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

BERNARD JOSEPH

Last Name

MIZOCK

Suffix

Business Name

BERNARD JOSEPH MIZOCK MD

Original Issue Date

01/01/1997

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011