MICHAEL E MOCKOVAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084177

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MOCKOVAK

Suffix

Business Name

MICHAEL E MOCKOVAK MD

Original Issue Date

03/31/1992

Effective Date

03/31/1992

Expiration Date

07/31/2002

City

SEATTLE

State

Zip

98112

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.