BRADLEY J BUNDERLE - Physician Assistant License in Illinois | # 085000531

BRADLEY J BUNDERLE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000531

License Status

NOT RENEWED

Business

N

First Name

BRADLEY J

Last Name

BUNDERLE

Business Name

BRADLEY J BUNDERLE

Original Issue Date

04/27/1993

Effective Date

04/27/1993

Expiration Date

03/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006