TIMOTHY LEE BRIDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053253

License Status

NOT RENEWED

Business

First Name

TIMOTHY LEE

Last Name

BRIDGE

Suffix

Business Name

TIMOTHY LEE BRIDGE MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006