JAMES J BRADSTREET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064009

License Status

NOT RENEWED

Business

First Name

JAMES J

Last Name

BRADSTREET

Suffix

Business Name

JAMES J BRADSTREET MD

Original Issue Date

03/04/1982

Effective Date

03/04/1982

Expiration Date

07/31/1984

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/17/2011