BRADFORD EMIL COLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062352

License Status

NOT RENEWED

Business

First Name

BRADFORD EMIL

Last Name

COLEN

Suffix

Business Name

BRADFORD EMIL COLEN MD

Original Issue Date

06/19/1981

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023