BRADFORD R EGLY DPM - Podiatrist License in Illinois | # 016004698

BRADFORD R EGLY DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004698

License Status

NOT RENEWED

Business

N

First Name

BRADFORD R

Last Name

EGLY

Suffix

DPM

Business Name

BRADFORD R EGLY DPM

Original Issue Date

07/02/1994

Effective Date

02/01/2007

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009