BRADLEY W BUCKROP DPM - Podiatrist License in Illinois | # 016004658

BRADLEY W BUCKROP DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004658

License Status

INACTIVE

Business

N

First Name

BRADLEY W

Last Name

BUCKROP

Suffix

DPM

Business Name

BRADLEY W BUCKROP DPM

Original Issue Date

08/29/1992

Effective Date

01/02/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2020