BRADLEY A BERTRAM - Medical Doctor License in Illinois | # 125018870

BRADLEY A BERTRAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018870

License Status

EXPIRED

Business

N

First Name

BRADLEY

Middle

A

Last Name

BERTRAM

Business Name

BRADLEY A BERTRAM

Original Issue Date

07/17/1985

Effective Date

07/17/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006