BRENDAN PAUL BAGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115421

License Status

NOT RENEWED

Business

First Name

BRENDAN

Middle

PAUL

Last Name

BAGLEY

Suffix

Business Name

BRENDAN PAUL BAGLEY MD

Original Issue Date

03/15/2006

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011