BRADFORD S MCGWIRE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102653

License Status

NOT RENEWED

Business

First Name

BRADFORD

Middle

Last Name

MCGWIRE

Business Name

BRADFORD S MCGWIRE

Original Issue Date

06/09/2000

Effective Date

06/09/2000

Expiration Date

07/31/2005

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006