ADAM LAWRENCE BRADDOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125341

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

LAWRENCE

Last Name

BRADDOCK

Suffix

Business Name

ADAM LAWRENCE BRADDOCK MD

Original Issue Date

03/31/2010

Effective Date

03/31/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011