ELIZABETH BULLOCK BLEECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

BULLOCK

Last Name

BLEECKER

Business Name

ELIZABETH BULLOCK BLEECKER MD

Original Issue Date

04/05/2012

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

NASHVILLE

State

Zip

37203

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017