BRADLEY S COLLETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119025

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

COLLETT

Suffix

Business Name

BRADLEY S COLLETT MD

Original Issue Date

07/20/2007

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2011