BRENDAN PAUL BAGLEY MD - Medical Doctor License in Illinois | # 036115421

BRENDAN PAUL BAGLEY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115421

License Status

NOT RENEWED

Business

N

First Name

BRENDAN

Middle

PAUL

Last Name

BAGLEY

Suffix

MD

Business Name

BRENDAN PAUL BAGLEY MD

Original Issue Date

03/15/2006

Effective Date

05/15/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011