CHAUNTAY Y BRADLEY MD - Medical Doctor License in Illinois | # 125048480

CHAUNTAY Y BRADLEY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048480

License Status

CANCELLED

Business

N

First Name

CHAUNTAY

Middle

Y

Last Name

BRADLEY

Suffix

MD

Business Name

CHAUNTAY Y BRADLEY MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

07/31/2007

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

06/22/2007