IZONA BOCK
Physician/surgeon


Address: 901 Mcclintock Drive, Burr Ridge, IL 60527

IZONA BOCK (Credential# 1215987) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.

Business Overview

IZONA BOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053028. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 901 Mcclintock Drive, Burr Ridge, IL 60527. The current status is active.

Basic Information

Licensee Name IZONA BOCK
Credential ID 1215987
Credential Number 1.053028
Credential Type Physician/Surgeon
Business Address 901 Mcclintock Drive
Burr Ridge
IL 60527
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-05-09
Effective Date 2019-12-01
Expiration Date 2020-11-30
Refresh Date 2019-11-12

Other licenses

ID Credential Code Credential Type Issue Term Status
1225849 CSP.0057245 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-05-31 2017-03-01 - 2019-02-28 LAPSED
1222763 CSP.0057189 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-08-19 - INACTIVE

Office Location

Street Address 901 McClintock Drive
City Burr Ridge
State IL
Zip Code 60527

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
King Koil Licensing Company Inc 7501 S. Quincy Street., #130, Willowbrook, IL 60527 Manufacturer of Bedding & Upholstered Furniture 2018-05-01 ~ 2019-04-30
James Woznicki 16 W 509 Timberlake, Willowbrook, IL 60527 Pharmacist 2012-06-07 ~ 2014-01-31
Sangamanayakker Balakrishnan 6701 Sheffield Ln, Willow Brook, IL 60527 Professional Engineer 2012-04-11 ~ 2013-01-31
Lavanya R Chekuri 6813 Fieldstone Drive, Burr Ridge, IL 60527 Physician/surgeon 2009-03-19 ~ 2010-04-30
Gail E Fontana 7215 Birchwood Ct, Willowbrook, IL 60527 Registered Nurse 2004-10-12 ~ 2005-10-31
Shamsi A Darki 32 Deer Path Trail, Burr Ridge, IL 60527 Registered Nurse 2006-06-26 ~ 2007-03-31
Charles A Reyer 508 W. 65th Street, Willowbrook, IL 60527 Veterinarian 2005-11-25 ~ 2007-01-31
Jeffrey P Cullen 128 Circle Ridge Drive, Burr Ridge, IL 60527 Physician/surgeon 2004-03-29 ~ 2005-04-30
John I Wrzesinski 130 Kraml Dr, Burr Ridge, IL 60527-0303 Temporary Certified General Real Estate Appraiser 2011-06-16 ~ 2011-12-16
Heartland Home Infusions Inc 901 Mcclintock Dr Ste 106, Burr Ridge, IL 60527-0872 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Find all Licenses in zip 60527

Competitor

Search similar business entities

City Burr Ridge
Zip Code 60527
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Burr Ridge

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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