BRADLEY SHAWN KURGIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090106

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

SHAWN

Last Name

KURGIS

Suffix

Business Name

BRADLEY SHAWN KURGIS DO

Original Issue Date

01/17/1995

Effective Date

01/17/1995

Expiration Date

07/31/2002

City

TEMPLETON

State

Zip

93465

Ever Disciplined

LastModifiedDate

08/05/2015

Case Number

2014007530

Action

Fine

Discipline Start Date

07/28/2015

Discipline Reason

due to a sister-state discipline in the state of New York.