BRADLEY S ROSS DPM - Podiatrist License in Illinois | # 135000108

BRADLEY S ROSS DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000108

License Status

EXPIRED

Business

N

First Name

BRADLEY S

Last Name

ROSS

Suffix

DPM

Business Name

BRADLEY S ROSS DPM

Original Issue Date

07/21/1988

Effective Date

07/21/1988

Expiration Date

07/18/1989

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006