BRADLEY RICHARD HAMMERSLEY DPM - Podiatrist License in Illinois | # 016004964

BRADLEY RICHARD HAMMERSLEY DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004964

License Status

NOT RENEWED

Business

N

First Name

BRADLEY

Middle

RICHARD

Last Name

HAMMERSLEY

Suffix

DPM

Business Name

BRADLEY RICHARD HAMMERSLEY DPM

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006