BRADFORD A KOLB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086903

License Status

NOT RENEWED

Business

First Name

BRADFORD A

Last Name

KOLB

Suffix

Business Name

BRADFORD A KOLB MD

Original Issue Date

07/21/1993

Effective Date

07/21/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006