BRADLEY S COOLIDGE MD - Medical Doctor License in Illinois | # 125028020

BRADLEY S COOLIDGE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028020

License Status

EXPIRED

Business

N

First Name

BRADLEY

Middle

S

Last Name

COOLIDGE

Suffix

MD

Business Name

BRADLEY S COOLIDGE MD

Original Issue Date

05/13/1992

Effective Date

05/13/1992

Expiration Date

06/21/1995

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006