TIMOTHY LEE BRIDGE MD - Medical Doctor License in Illinois | # 036053253

TIMOTHY LEE BRIDGE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053253

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY LEE

Last Name

BRIDGE

Suffix

MD

Business Name

TIMOTHY LEE BRIDGE MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006