BRADLEY T BAGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114948

License Status

ACTIVE

Business

Title

First Name

BRADLEY

Middle

Last Name

BAGAN

Business Name

BRADLEY T BAGAN MD

Original Issue Date

12/06/2005

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2023