BREDA G CLIFFORD - Medical Doctor License in Illinois | # 125021433

BREDA G CLIFFORD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021433

License Status

EXPIRED

Business

N

First Name

BREDA G

Last Name

CLIFFORD

Business Name

BREDA G CLIFFORD

Original Issue Date

06/24/1987

Effective Date

06/24/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006