BRADLEY LAINE MANNING III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119593

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

LAINE

Last Name

MANNING

Suffix

III

Business Name

BRADLEY LAINE MANNING III MD

Original Issue Date

10/24/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011