BRADLEY DAVID ALLEN MD - Medical Doctor License in Illinois | # 125060351

BRADLEY DAVID ALLEN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060351

License Status

CANCELLED

Business

N

Title

MD

First Name

BRADLEY

Middle

DAVID

Last Name

ALLEN

Business Name

BRADLEY DAVID ALLEN MD

BusinessDBA

BRAD ALLEN

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

01/13/2016