BRADLEY A BOURKLAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093293

License Status

NOT RENEWED

Business

First Name

BRADLEY A

Last Name

BOURKLAND

Suffix

Business Name

BRADLEY A BOURKLAND MD

Original Issue Date

06/24/1996

Effective Date

06/24/1996

Expiration Date

07/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/12/2014

Case Number

2013002339

Action

Probation

Discipline Start Date

08/22/2013

Discipline End Date

11/12/2020

Discipline Reason

after being disciplined by the state of Wisconsin.